Patricia Roy D.O. PC

Patricia Roy D.O. PC was paid $55K by Medicaid between Jan 2018 and Jun 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoPATRICIA ROY D.O. PC
MUSKEGON, MI 49441

33aNPI1851307490assigned 08/01/2006

33bProvider typeFamily Medicine Physician

28Total paid$55K

24GClaims1,104

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#471 of 826

Median peer was paid$98K

This provider vs. median0.6×

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	309	$15K
2019	364	$17K
2020	267	$11K
2021	164	$11K

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	80%	837	752	$44K
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	17%	125	115	$9K
90688		2.3%	93	93	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	49	49	$414.24

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, PATRICIA (PHYSICIAN)