⚠️

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 →

Michael RoyallNP

Nurse Practitioner · North Wilkesboro, NC 28659

NPI: 1356819320

Share:

38

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

2,441

Total Claims

$305K

Drug Cost

134

Beneficiaries

$2,275

Cost/Patient

Risk Score Breakdown 38/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid rate (national percentile)+10
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1150%

Opioid rate vs peers

47.3% vs 3.8% avg

+94%

Cost per patient vs peers

$2,275 vs $1,174 avg

+26%

Brand preference vs peers

11.2% vs 8.9% avg

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

🔎 Data Overview

⚠️

Opioid prescribing rate is 1,150% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

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

Opioid Prescribing

47.3%

Opioid Rate

1,154

Opioid Claims

$206K

Opioid Cost

26.9%

Long-Acting Rate

This provider's opioid prescribing rate of 47.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

89% generic

Brand: 273 claims · $219K

Generic: 2,168 claims · $86K

Patient Profile

59

Avg Age

50%

Female

1.58

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About