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
2,106
Total Claims
$903K
Drug Cost
136
Beneficiaries
$6,637
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+417%
Cost per patient vs peers
$6,637 vs $1,283 avg
+106%
Brand preference vs peers
18.5% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
11.8%
Opioid Rate
248
Opioid Claims
$70K
Opioid Cost
25.8%
Long-Acting Rate
Brand vs Generic
Brand: 387 claims · $789K
Generic: 1,706 claims · $111K
Patient Profile
68
Avg Age
57%
Female
2.86
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