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
58,784
Total Claims
$20.2M
Drug Cost
688
Beneficiaries
$29K
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+2187%
Cost per patient vs peers
$29K vs $1,283 avg
+218%
Brand preference vs peers
28.5% 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 2187% 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
1.1%
Opioid Rate
634
Opioid Claims
$14K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 16,582 claims · $13.4M
Generic: 41,696 claims · $6.8M
Patient Profile
80
Avg Age
64%
Female
1.88
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