⚠️

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 →

James FesenmeierM.D.

Nephrology · Avon, IN 46123

NPI: 1649294166

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39

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peersHigh cost outlier (population + peer)High long-acting opioid rate vs peersElevated antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

3,095

Total Claims

$2.2M

Drug Cost

408

Beneficiaries

$5,491

Cost/Patient

Risk Score Breakdown 39/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Long-acting opioid rate+8
Cost per patient outlier+6
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 8,961 Nephrology providers

+328%

Cost per patient vs peers

$5,491 vs $1,283 avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

7.2%

Opioid Rate

224

Opioid Claims

$4,420

Opioid Cost

10.7%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 2,743 claims · $167K

Patient Profile

70

Avg Age

63%

Female

1.58

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