⚠️

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 →

Michelle TrebilcockMSN, APRN, FNP-BC

Nurse Practitioner · Murfreesboro, TN 37129

NPI: 1720671274

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36

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peers90th percentile opioid prescribingHigh long-acting opioid rate vs peersElevated antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

1,973

Total Claims

$181K

Drug Cost

144

Beneficiaries

$1,258

Cost/Patient

Risk Score Breakdown 36/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Long-acting opioid rate+8
Opioid rate (national percentile)+5
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+872%

Opioid rate vs peers

36.7% vs 3.8% avg

+7%

Cost per patient vs peers

$1,258 vs $1,174 avg

+38%

Brand preference vs peers

12.3% 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 872% 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

36.7%

Opioid Rate

725

Opioid Claims

$117K

Opioid Cost

33.1%

Long-Acting Rate

This provider's opioid prescribing rate of 36.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

88% generic

Brand: 242 claims · $120K

Generic: 1,731 claims · $61K

Patient Profile

69

Avg Age

46%

Female

3.01

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