Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
373
Total Claims
$14K
Drug Cost
88
Beneficiaries
$160
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
-88%
Cost per patient vs peers
$160 vs $1,283 avg
-28%
Brand preference vs peers
6.4% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
11.3%
Opioid Rate
42
Opioid Claims
$3,876
Opioid Cost
61.9%
Long-Acting Rate
Brand vs Generic
Brand: 24 claims · $3,323
Generic: 349 claims · $11K
Patient Profile
72
Avg Age
52%
Female
2.15
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About