Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Memphis › NPI 1972594208
Physician

Fox, Roy

Fox, Roy was paid $32K by Medicaid between Jan 2018 and Nov 2020, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 87% of everything it billed.

33Billing provider infoFOX, ROY
MEMPHIS, TN 38157
33aNPI1972594208assigned 11/04/2005
28Total paid$32K
24GClaims1,056
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Pulmonary Disease Physician providers in Tennessee

Rank by total paid#31 of 62
Median peer was paid$26K
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$2.0K$3.0K2018201920202021202220232024
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
2018298$8K
2019573$16K
2020185$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 87% 906 398 $27K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 10% 69 27 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 3.0% 81 52 $962.14

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.