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
6,539
Total Claims
$6.1M
Drug Cost
241
Beneficiaries
$25K
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+1878%
Cost per patient vs peers
$25K vs $1,283 avg
+190%
Brand preference vs peers
26.0% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 1878% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
2.6%
Opioid Rate
170
Opioid Claims
$30K
Opioid Cost
10.6%
Long-Acting Rate
Brand vs Generic
Brand: 1,680 claims · $5.8M
Generic: 4,787 claims · $268K
Patient Profile
72
Avg Age
47%
Female
2.24
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