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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.

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James RoyalDR.

Internal Medicine · Opelika, AL 36801

NPI: 1790872174

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9

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,564

Total Claims

$1.9M

Drug Cost

1,079

Beneficiaries

$1,790

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-5%

Opioid rate vs peers

2.1% vs 2.2% avg

+27%

Cost per patient vs peers

$1,790 vs $1,411 avg

+17%

Brand preference vs peers

12.4% vs 10.6% avg

Opioid Prescribing

2.1%

Opioid Rate

436

Opioid Claims

$4,455

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,522 claims · $1.6M

Generic: 17,813 claims · $367K

Patient Profile

75

Avg Age

57%

Female

1.14

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 of wrongdoing.Methodology · About · Dispute this data