Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Royaltystar LLC

Royaltystar LLC was paid $15K by Medicaid between Sep 2022 and Jul 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoROYALTYSTAR LLC
SAN ANTONIO, TX 78260
33aNPI1306414313assigned 06/15/2021
28Total paid$15K
24GClaims695
24DCodes billed2
24AFirst – last monthSep 2022 – Jul 2024
Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Texas

Rank by total paid#86 of 145
Median peer was paid$27K
This provider vs. median0.5×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2022122$205.38
2023386$9K
2024incomplete187$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70% 473 421 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 30% 222 192 $4K

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 officialFOMBO, EPHRAIM (OWNER)