Physician
Royal Oak Medical Associates PC
Royal Oak Medical Associates PC was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoROYAL OAK MEDICAL ASSOCIATES PC
MARION, VA 24354
MARION, VA 24354
33aNPI1659318525assigned 06/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.06M
24GClaims47,614
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#36 of 772
Median peer was paid$13K
This provider vs. median81×
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 | 8,787 | $75K | |
| 2019 | 10,939 | $186K | |
| 2020 | 6,292 | $171K | |
| 2021 | 6,163 | $166K | |
| 2022 | 5,382 | $167K | |
| 2023 | 5,723 | $172K | |
| 2024incomplete | 4,328 | $126K |
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 | 44% | 13,336 | 10,359 | $468K |
| 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 | 40% | 7,783 | 6,529 | $426K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.4% | 5,592 | 2,480 | $47K |
| 87428 | 1.9% | 680 | 610 | $20K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.6% | 4,324 | 2,066 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 3,353 | 2,818 | $15K |
| 80061 | Lipid panel | 1.3% | 2,054 | 1,741 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 883 | 625 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 205 | 184 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,091 | 964 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 351 | 266 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,678 | 4,647 | $6K |
24 more codes
| 90674 | <1% | 209 | $4K | |
| 91320 | <1% | 50 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 198 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 21 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 436 | $2K |
| 90756 | <1% | 120 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 104 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 23 | $1K |
| 90688 | <1% | 66 | $960.22 | |
| 90682 | <1% | 37 | $927.66 | |
| 81002 | <1% | 347 | $608.62 | |
| 90686 | <1% | 99 | $526.20 | |
| 90480 | <1% | 32 | $508.00 | |
| 99442 | <1% | 30 | $452.08 | |
| 90661 | <1% | 19 | $280.79 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 54 | $214.78 |
| G0008 | Administration of influenza virus vaccine | <1% | 151 | $35.92 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 127 | $21.39 |
| 90662 | <1% | 57 | $1.07 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 22 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 20 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 23 | $0.00 |
| 4040F | 0% | 17 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 22 | $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 officialCLAMPITT, ROBERT (OFFICER)
Parent organizationROYAL OAK MEDICAL ASSOCIATES