Roy, Marc

Roy, Marc was paid $60K by Medicaid between Jan 2018 and Mar 2023, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 54% of everything it billed.

33Billing provider infoROY, MARC
LOWELL, MA 01854

33aNPI1548241227assigned 11/09/2005

33bProvider typeEmergency Medicine Physician

28Total paid$60K

24GClaims727

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#128 of 618

Median peer was paid$8K

This provider vs. median7.3×

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	301	$24K
2019	190	$16K
2020	34	$3K
2021	79	$7K
2022	74	$7K
2023	49	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	54%	379	377	$32K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	31%	151	150	$19K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	15%	197	196	$9K

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.