Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Royal, Nicholas

Royal, Nicholas was paid $46K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoROYAL, NICHOLAS
NASHVILLE, TN 37232
33aNPI1801200837assigned 06/18/2014
33bProvider typeAdult Medicine Physician
28Total paid$46K
24GClaims888
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Adult Medicine Physician providers in Tennessee

Rank by total paid#7 of 15
Median peer was paid$40K
This provider vs. median1.2×

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
201892$5K
2019179$10K
2020151$8K
2021101$5K
2022149$7K
2023116$6K
2024incomplete100$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 97% 819 757 $45K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.0% 26 25 $943.17
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1.1% 43 41 $511.80

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.