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
26,509
Total Claims
$1.4M
Drug Cost
844
Beneficiaries
$1,616
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+26%
Cost per patient vs peers
$1,616 vs $1,283 avg
+1%
Brand preference vs peers
9.1% vs 9.0% avg
Opioid Prescribing
1.9%
Opioid Rate
514
Opioid Claims
$11K
Opioid Cost
2.3%
Long-Acting Rate
Brand vs Generic
Brand: 2,394 claims · $827K
Generic: 23,960 claims · $529K
Patient Profile
83
Avg Age
72%
Female
2.08
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