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
18,839
Total Claims
$3.0M
Drug Cost
774
Beneficiaries
$3,846
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+200%
Cost per patient vs peers
$3,846 vs $1,283 avg
+74%
Brand preference vs peers
15.6% vs 9.0% avg
Opioid Prescribing
2.7%
Opioid Rate
502
Opioid Claims
$14K
Opioid Cost
9.6%
Long-Acting Rate
Brand vs Generic
Brand: 2,875 claims · $2.5M
Generic: 15,599 claims · $490K
Patient Profile
75
Avg Age
54%
Female
1.93
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