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
55,710
Total Claims
$7.7M
Drug Cost
1,460
Beneficiaries
$5,244
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+309%
Cost per patient vs peers
$5,244 vs $1,283 avg
+82%
Brand preference vs peers
16.3% vs 9.0% avg
Opioid Prescribing
5.9%
Opioid Rate
3,288
Opioid Claims
$55K
Opioid Cost
8.4%
Long-Acting Rate
Brand vs Generic
Brand: 8,967 claims · $5.4M
Generic: 46,057 claims · $2.2M
Patient Profile
71
Avg Age
55%
Female
2.63
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