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
4,217
Total Claims
$447K
Drug Cost
282
Beneficiaries
$1,584
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+23%
Cost per patient vs peers
$1,584 vs $1,283 avg
+45%
Brand preference vs peers
13.0% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
12.6%
Opioid Rate
533
Opioid Claims
$35K
Opioid Cost
13.9%
Long-Acting Rate
Brand vs Generic
Brand: 542 claims · $316K
Generic: 3,623 claims · $127K
Patient Profile
66
Avg Age
58%
Female
4.69
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