Royal Clinic PC

Royal Clinic PC was paid $704K by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoROYAL CLINIC PC
HUMBOLDT, TN 38343

33aNPI1639296965assigned 03/23/2007

33bProvider typeInternal Medicine Physician

28Total paid$704K

24GClaims71,888

24DCodes billed82

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#44 of 581

Median peer was paid$15K

This provider vs. median46×

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	11,845	$155K
2019	12,811	$174K
2020	12,189	$125K
2021	8,377	$82K
2022	7,496	$54K
2023	11,515	$64K
2024incomplete	7,655	$50K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	70%	14,713	12,295	$495K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	2,815	2,456	$78K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	7.9%	4,237	3,432	$56K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.8%	1,189	353	$20K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.2%	915	826	$8K
82947		<1%	4,666	3,870	$6K
36415	Collection of venous blood by venipuncture	<1%	6,951	5,807	$6K
90756		<1%	539	491	$6K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	73	65	$3K
G0008	Administration of influenza virus vaccine	<1%	692	620	$2K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	1,651	1,359	$2K
1159F		<1%	2,425	1,962	$2K

70 more codes

1160F		<1%	2,428	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	67	$2K
99223	Prolong inpt eval add15 m	<1%	26	$1K
1125F		<1%	1,983	$1K
1170F		<1%	1,215	$1K
1158F		<1%	1,695	$1K
G0444	Annual depression screening, 5 to 15 minutes	<1%	457	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	96	$965.43
90674		<1%	104	$877.19
3078F		<1%	1,235	$810.00
3079F		<1%	918	$810.00
3074F		<1%	1,353	$810.00
90656		<1%	124	$797.45
3077F		<1%	505	$580.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	55	$550.45
99406		<1%	185	$549.98
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	56	$499.92
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,020	$367.43
3080F		<1%	227	$340.00
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	282	$339.56
1126F		<1%	770	$280.02
3075F		<1%	484	$280.00
81002		<1%	128	$234.79
3008F		<1%	598	$220.00
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	135	$201.94
92551		<1%	12	$89.03
99173		<1%	12	$85.74
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	18	$79.50
80305		<1%	18	$56.17
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	35	$13.66
2022F		<1%	32	$10.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	1,276	$0.02
1036F		<1%	1,630	$0.02
G8752	Most recent systolic blood pressure < 140 mmhg	0%	1,906	$0.00
1124F		0%	359	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	92	$0.00
1100F		0%	51	$0.00
3288F		0%	417	$0.00
1090F		0%	1,099	$0.00
0518F		0%	39	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	100	$0.00
3725F		0%	646	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	83	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	277	$0.00
4004F		0%	379	$0.00
3016F		0%	151	$0.00
99499		0%	41	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	365	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	2,107	$0.00
3048F		0%	145	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	499	$0.00
3351F		0%	51	$0.00
1101F		0%	943	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	180	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	128	$0.00
3352F		0%	64	$0.00
1034F		0%	502	$0.00
2010F		0%	222	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	150	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	63	$0.00
3014F		0%	49	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	239	$0.00
3044F		0%	37	$0.00
3049F		0%	16	$0.00
3353F		0%	161	$0.00
4037F		0%	94	$0.00
3017F		0%	98	$0.00
1111F		0%	22	$0.00
1000F		0%	52	$0.00
1123F		0%	16	$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 officialARINZE, FESTUS (OWNER)