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
427
Total Claims
$318K
Drug Cost
46
Beneficiaries
$6,909
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+438%
Cost per patient vs peers
$6,909 vs $1,283 avg
+274%
Brand preference vs peers
33.5% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
17.6%
Opioid Rate
75
Opioid Claims
$1,631
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 143 claims · $297K
Generic: 284 claims · $21K
Patient Profile
60
Avg Age
48%
Female
8.78
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