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
336
Total Claims
$88K
Drug Cost
40
Beneficiaries
$2,198
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+71%
Cost per patient vs peers
$2,198 vs $1,283 avg
+23%
Brand preference vs peers
11.0% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
38.1%
Opioid Rate
128
Opioid Claims
$9,155
Opioid Cost
28.1%
Long-Acting Rate
This provider's opioid prescribing rate of 38.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 37 claims · $75K
Generic: 299 claims · $13K
Patient Profile
72
Avg Age
38%
Female
2.35
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