⚠️

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 →

Hoover RoyalsM.D.

Family Practice · Dover, NC 28526

NPI: 1093851891

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38

🟠 Elevated

🤖 ML Fraud Detection Score: 90%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

High cost outlier (population + peer)Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

42,244

Total Claims

$5.0M

Drug Cost

745

Beneficiaries

$6,765

Cost/Patient

Risk Score Breakdown 38/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-95%

Opioid rate vs peers

0.1% vs 2.6% avg

+534%

Cost per patient vs peers

$6,765 vs $1,068 avg

+7%

Brand preference vs peers

9.6% vs 9.0% avg

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

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

🤖

ML fraud detection score of 90% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 out of 20 decision trees flagged this provider.

💰

Cost per patient is 534% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

0.1%

Opioid Rate

57

Opioid Claims

$2,257

Opioid Cost

24.6%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 4,041 claims · $3.2M

Generic: 37,881 claims · $1.8M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Valbenazine Tosylate68$550K
Linaclotide877$479K
Aripiprazole755$183K
Cannabidiol (Cbd)53$136K
Plecanatide213$122K
Lumateperone Tosylate73$120K
Lamotrigine40$101K
Interferon Beta-1a12$100K
Divalproex Sodium952$90K
Lurasidone Hcl59$81K
Chlorpromazine Hcl151$71K
Mirabegron152$70K
Divalproex Sodium576$67K
Diazepam57$66K
Iloperidone32$65K

Prescribing Profile

279

Unique Drugs

$168K

IRA Negotiated Drugs

$13K

GLP-1 Drugs

38.0

Anomaly Score

Patient Profile

52

Avg Age

42%

Female

1.11

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