Physician
Roy Medical Group, INC.
Roy Medical Group, INC. was paid $297K by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 18% of everything it billed.
33Billing provider infoROY MEDICAL GROUP, INC.
CANOGA PARK, CA 91303
CANOGA PARK, CA 91303
33aNPI1801921952assigned 02/22/2007
33bProvider typeFamily Medicine Physician
28Total paid$297K
24GClaims104,890
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#353 of 2,511
Median peer was paid$13K
This provider vs. median23×
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 | 11,577 | $60K | |
| 2019 | 20,832 | $89K | |
| 2020 | 11,594 | $33K | |
| 2021 | 13,533 | $30K | |
| 2022 | 16,690 | $33K | |
| 2023 | 18,003 | $32K | |
| 2024incomplete | 12,661 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 18% | 1,277 | 1,277 | $54K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 13,066 | 12,272 | $46K |
| 92551 | 14% | 6,261 | 6,245 | $43K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,115 | 1,113 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 3,824 | 3,480 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 490 | 490 | $14K |
| 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 | 3.8% | 3,664 | 3,517 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 176 | 175 | $11K |
| 90686 | 3.3% | 1,640 | 1,636 | $10K | |
| 85018 | 2.8% | 7,273 | 7,221 | $8K | |
| 99381 | 2.1% | 70 | 70 | $6K | |
| 90648 | 1.4% | 595 | 590 | $4K |
52 more codes
| 90670 | 1.3% | 588 | $4K | |
| 90734 | 1.2% | 434 | $3K | |
| 99383 | 1.1% | 72 | $3K | |
| 90700 | 1.0% | 383 | $3K | |
| 90649 | <1% | 333 | $3K | |
| 99384 | <1% | 43 | $3K | |
| 81000 | <1% | 1,850 | $2K | |
| 90651 | <1% | 221 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 452 | $2K |
| 90685 | <1% | 221 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 341 | $1K |
| 92081 | <1% | 1,522 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,887 | $1K |
| 90633 | <1% | 166 | $1K | |
| 99401 | <1% | 67 | $1K | |
| 90715 | <1% | 133 | $1K | |
| 90713 | <1% | 136 | $1K | |
| 92552 | <1% | 484 | $593.39 | |
| 90716 | <1% | 60 | $540.00 | |
| 90620 | <1% | 66 | $425.00 | |
| 90707 | <1% | 57 | $387.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 225 | $363.67 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 238 | $301.09 |
| 90680 | <1% | 47 | $288.00 | |
| 81002 | <1% | 4,210 | $249.30 | |
| 90698 | <1% | 24 | $180.00 | |
| 90658 | <1% | 21 | $180.00 | |
| 90688 | <1% | 59 | $153.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,392 | $91.80 |
| 90744 | <1% | 12 | $63.00 | |
| 99000 | <1% | 54 | $38.81 | |
| 82465 | <1% | 12 | $33.41 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 71 | $29.38 |
| 90723 | <1% | 12 | $27.00 | |
| 94760 | <1% | 1,815 | $25.15 | |
| 99173 | <1% | 4,485 | $18.89 | |
| 82962 | <1% | 86 | $17.82 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 530 | $4.42 |
| 3074F | 0% | 13,431 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,599 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 437 | $0.00 |
| 3075F | 0% | 886 | $0.00 | |
| 3008F | 0% | 1,522 | $0.00 | |
| 3080F | 0% | 1,252 | $0.00 | |
| 3079F | 0% | 2,404 | $0.00 | |
| 99443 | 0% | 33 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,473 | $0.00 |
| 3078F | 0% | 11,919 | $0.00 | |
| 90461 | 0% | 1,232 | $0.00 | |
| 3077F | 0% | 1,330 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 99 | $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 officialROY, ROSALINDA (PRESIDENT)