Physician
Roy Silver MD INC
Roy Silver MD INC was paid $1.32M by Medicaid between Jan 2018 and Jan 2023, across 46 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 20% of everything it billed.
33Billing provider infoROY SILVER MD INC
LOS ANGELES, CA 90007
LOS ANGELES, CA 90007
33aNPI1770799280assigned 05/15/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.32M
24GClaims24,203
24DCodes billed46
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#99 of 791
Median peer was paid$67K
This provider vs. median20×
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 | 10,291 | $701K | |
| 2019 | 3,945 | $157K | |
| 2020 | 3,797 | $211K | |
| 2021 | 3,575 | $164K | |
| 2022 | 2,566 | $83K | |
| 2023 | 29 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 20% | 3,611 | 2,797 | $270K |
| Z1034 | 11% | 2,684 | 2,017 | $146K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 2,421 | 2,214 | $128K |
| 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 | 8.9% | 2,225 | 2,224 | $117K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 7.7% | 623 | 490 | $101K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 7.6% | 254 | 250 | $100K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 7.1% | 2,437 | 1,913 | $94K |
| J3490 | Unclassified drugs | 6.4% | 782 | 680 | $85K |
| 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 | 4.4% | 1,659 | 1,620 | $58K |
| Z1032 | 3.7% | 382 | 382 | $48K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 453 | 405 | $46K |
| 76801 | 1.9% | 470 | 440 | $26K |
34 more codes
| Z6500 | 1.1% | 114 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 166 | $11K |
| H1000 | Prenatal care, at-risk assessment | <1% | 114 | $10K |
| 99205 | Prolong outpt/office vis | <1% | 130 | $9K |
| 81025 | <1% | 1,608 | $8K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 121 | $8K |
| 99000 | <1% | 1,400 | $7K | |
| 99401 | <1% | 310 | $6K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 406 | $5K |
| 11976 | <1% | 53 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 55 | $3K |
| 81002 | <1% | 396 | $3K | |
| Z6410 | <1% | 171 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 46 | $2K |
| Z6400 | <1% | 87 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 282 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 76 | $1K |
| 99243 | <1% | 21 | $843.28 | |
| Z1038 | <1% | 13 | $713.04 | |
| 59425 | <1% | 16 | $677.32 | |
| 99201 | <1% | 119 | $491.27 | |
| 59430 | <1% | 12 | $423.34 | |
| Z6302 | <1% | 14 | $311.13 | |
| Z6202 | <1% | 14 | $295.99 | |
| Z6404 | <1% | 12 | $250.57 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | $215.06 |
| Z6200 | <1% | 13 | $196.95 | |
| Z6300 | <1% | 13 | $196.95 | |
| Z6402 | <1% | 13 | $196.95 | |
| Z6204 | <1% | 13 | $181.68 | |
| 59426 | <1% | 69 | $62.11 | |
| 81000 | <1% | 16 | $19.52 | |
| 99024 | 0% | 201 | $0.00 | |
| 59840 | 0% | 79 | $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 officialSILVER, ROY (PRESIDENT)