Physician
Royston Medical Associates PC
Royston Medical Associates PC was paid $370K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoROYSTON MEDICAL ASSOCIATES PC
ROYSTON, GA 30662
ROYSTON, GA 30662
33aNPI1245377662assigned 02/01/2007
33bProvider typeFamily Medicine Physician
28Total paid$370K
24GClaims11,286
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Georgia
Rank by total paid#25 of 162
Median peer was paid$12K
This provider vs. median30×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,304 | $58K | |
| 2019 | 1,503 | $60K | |
| 2020 | 1,674 | $43K | |
| 2021 | 2,229 | $66K | |
| 2022 | 1,880 | $63K | |
| 2023 | 1,716 | $55K | |
| 2024incomplete | 980 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 3,844 | 3,145 | $193K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42% | 3,920 | 3,003 | $154K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.4% | 1,601 | 1,091 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.3% | 233 | 203 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 279 | 161 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 52 | 41 | $1K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 62 | 54 | $325.66 |
| 17000 | <1% | 21 | 15 | $129.90 | |
| 90756 | <1% | 12 | 12 | $22.79 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 18 | 12 | $7.37 |
| 3074F | <1% | 168 | 154 | $0.03 | |
| 3078F | <1% | 135 | 126 | $0.02 |
6 more codes
| 99080 | 0% | 647 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 97 | $0.00 |
| 3079F | 0% | 90 | $0.00 | |
| 1123F | 0% | 80 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHARRIS, DAVID (PRESIDENT ROYSTON MEDICAL ASSOCIATE)