Total Payments
$578,994
2024 Payments
$63,420
Companies
30
Transactions
301
Medicare Patients
938
Medicare Billing
$147,234
Payment Breakdown by Category
Royalty/License$514,206 (88.8%)
Consulting$39,513 (6.8%)
Travel$12,638 (2.2%)
Food & Beverage$10,950 (1.9%)
Education$1,536 (0.3%)
Gifts$104.41 (0.0%)
Other$47.32 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Royalty or License | $514,206 | 56 | 88.8% |
| Consulting Fee | $39,513 | 22 | 6.8% |
| Travel and Lodging | $12,638 | 36 | 2.2% |
| Food and Beverage | $10,950 | 176 | 1.9% |
| Education | $1,536 | 7 | 0.3% |
| Gift | $104.41 | 2 | 0.0% |
| Entertainment | $47.32 | 2 | 0.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Integrity Implants Inc. | $352,090 | 104 | $0 (2023) |
| Republic Spine | $114,001 | 44 | $0 (2024) |
| Integrity Implants Inc. dba Accelus | $62,845 | 8 | $0 (2024) |
| Orthofix Medical, Inc. | $18,788 | 16 | $0 (2021) |
| K2M, Inc. | $5,622 | 9 | $0 (2018) |
| Captiva Spine Inc | $4,955 | 23 | $0 (2022) |
| Orthofix International N.V. | $4,338 | 4 | $0 (2017) |
| MiRus, LLC | $4,293 | 3 | $0 (2022) |
| Centinel Spine, LLC | $2,698 | 6 | $0 (2019) |
| Silony Medical Corp. | $2,537 | 3 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $63,420 | 15 | Integrity Implants Inc. dba Accelus ($62,845) |
| 2023 | $62,776 | 15 | Integrity Implants Inc. ($61,832) |
| 2022 | $74,685 | 18 | Integrity Implants Inc. ($68,538) |
| 2021 | $85,837 | 37 | Integrity Implants Inc. ($71,509) |
| 2020 | $60,978 | 24 | Integrity Implants Inc. ($57,285) |
| 2019 | $51,401 | 66 | Integrity Implants Inc ($43,231) |
| 2018 | $44,912 | 70 | Integrity Implants Inc ($38,244) |
| 2017 | $134,986 | 56 | Republic Spine, LLC ($110,424) |
All Payment Transactions
301 individual payment records from CMS Open Payments — Page 1 of 13
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/31/2024 | Integrity Implants Inc. dba Accelus | FlareHawk (Device) | Royalty or License | Cash or cash equivalent | $11,309.54 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 12/31/2024 | Integrity Implants Inc. dba Accelus | LineSider (Device) | Royalty or License | Cash or cash equivalent | $3,648.73 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 12/16/2024 | Republic Spine | Dark Star (Device) | Food and Beverage | Cash or cash equivalent | $71.43 | General |
| Category: Spine Fusion | ||||||
| 11/04/2024 | Republic Spine | Dark Star (Device) | Food and Beverage | Cash or cash equivalent | $62.50 | General |
| Category: Spine Fusion | ||||||
| 09/30/2024 | Integrity Implants Inc. dba Accelus | FlareHawk (Device) | Royalty or License | Cash or cash equivalent | $10,956.17 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 09/30/2024 | Integrity Implants Inc. dba Accelus | LineSider (Device) | Royalty or License | Cash or cash equivalent | $3,647.96 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 09/17/2024 | Circinus Medical Technology LLC | Bolt Navigation (Device) | Food and Beverage | Cash or cash equivalent | $111.66 | General |
| Category: Spine surgical navigation system | ||||||
| 09/09/2024 | Republic Spine | Dark Star (Device) | Food and Beverage | Cash or cash equivalent | $92.55 | General |
| Category: Spine Fusion | ||||||
| 06/30/2024 | Integrity Implants Inc. dba Accelus | FlareHawk (Device) | Royalty or License | Cash or cash equivalent | $14,064.49 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 06/30/2024 | Integrity Implants Inc. dba Accelus | LineSider (Device) | Royalty or License | Cash or cash equivalent | $3,346.83 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 05/20/2024 | Republic Spine | Dark Star (Device) | Food and Beverage | Cash or cash equivalent | $120.00 | General |
| Category: Spine Fusion | ||||||
| 04/26/2024 | Circinus Medical Technology LLC | Bolt Navigation (Device) | Food and Beverage | Cash or cash equivalent | $33.30 | General |
| Category: Spine surgical navigation system | ||||||
| 03/31/2024 | Integrity Implants Inc. dba Accelus | FlareHawk (Device) | Royalty or License | Cash or cash equivalent | $12,886.55 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 03/31/2024 | Integrity Implants Inc. dba Accelus | LineSider (Device) | Royalty or License | Cash or cash equivalent | $2,984.92 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 01/22/2024 | Republic Spine | Dark Star (Device) | Food and Beverage | Cash or cash equivalent | $83.07 | General |
| Category: Spine Fusion | ||||||
| 12/31/2023 | Integrity Implants Inc. | LineSider (Device) | Royalty or License | Cash or cash equivalent | $12,542.21 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 12/31/2023 | Integrity Implants Inc. | FlareHawk (Device) | Royalty or License | Cash or cash equivalent | $2,903.46 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 11/29/2023 | Republic Spine | DARK STAR (Device) | Food and Beverage | Cash or cash equivalent | $236.39 | General |
| Category: Spine Fusion | ||||||
| 10/25/2023 | Republic Spine | DARK STAR (Device) | Food and Beverage | Cash or cash equivalent | $199.02 | General |
| Category: Spine Fusion | ||||||
| 09/30/2023 | Integrity Implants Inc. | FlareHawk (Device) | Royalty or License | Cash or cash equivalent | $13,199.21 | General |
| Category: THORACOLUMBAR SPINE | ||||||
| 09/30/2023 | Integrity Implants Inc. | — | Royalty or License | Cash or cash equivalent | $2,129.10 | General |
| 09/18/2023 | SI-BONE, INC. | — | Food and Beverage | Cash or cash equivalent | $26.84 | General |
| 08/21/2023 | Republic Spine | DARK STAR (Device) | Food and Beverage | Cash or cash equivalent | $93.72 | General |
| Category: Spine Fusion | ||||||
| 07/10/2023 | SurGenTec | ION Facet Screw System (Device), TiLink | Food and Beverage | Cash or cash equivalent | $94.93 | General |
| Category: Orthopedic | ||||||
| 06/30/2023 | Integrity Implants Inc. | — | Royalty or License | Cash or cash equivalent | $12,374.35 | General |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2021 | 11 | 438 | 534 | $279,878 | $75,758 |
| 2020 | 10 | 500 | 580 | $296,060 | $71,477 |
Total Patients
938
Total Services
1,114
Medicare Billing
$147,234
Procedure Codes
21
All Medicare Procedures & Services
21 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach, single interspace and segment | Facility | 2021 | 21 | 21 | $115,602 | $29,979 | 25.9% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 137 | 174 | $51,610 | $15,775 | 30.6% |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | Facility | 2021 | 17 | 17 | $38,598 | $10,083 | 26.1% |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | Facility | 2021 | 25 | 35 | $26,681 | $7,070 | 26.5% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 76 | 92 | $18,336 | $5,793 | 31.6% |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | Office | 2021 | 63 | 63 | $8,734 | $2,161 | 24.7% |
| 72148 | Mri scan of lower spinal canal | Office | 2021 | 18 | 18 | $7,434 | $1,659 | 22.3% |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | Office | 2021 | 33 | 58 | $6,112 | $1,433 | 23.4% |
| 72050 | X-ray of upper spine, 4 or 5 views | Office | 2021 | 22 | 22 | $3,105 | $775.00 | 25.0% |
| 72040 | X-ray of spine of neck, 2 or 3 views | Office | 2021 | 13 | 21 | $2,154 | $522.00 | 24.2% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Office | 2021 | 13 | 13 | $1,512 | $509.40 | 33.7% |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | Facility | 2020 | 20 | 20 | $113,700 | $28,118 | 24.7% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 157 | 198 | $61,974 | $14,072 | 22.7% |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | Facility | 2020 | 14 | 15 | $35,445 | $8,605 | 24.3% |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | Facility | 2020 | 26 | 36 | $27,828 | $7,322 | 26.3% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 107 | 121 | $25,652 | $6,109 | 23.8% |
| 72148 | Mri scan of lower spinal canal | Office | 2020 | 27 | 27 | $11,151 | $2,544 | 22.8% |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | Office | 2020 | 67 | 68 | $9,384 | $2,167 | 23.1% |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | Office | 2020 | 37 | 37 | $4,662 | $1,066 | 22.9% |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | Office | 2020 | 27 | 40 | $3,960 | $897.19 | 22.7% |
| 72050 | X-ray of upper spine, 4 or 5 views | Office | 2020 | 18 | 18 | $2,304 | $576.68 | 25.0% |
About Dr. Raphael Roybal, MD
Dr. Raphael Roybal, MD is a Orthopaedic Surgery of the Spine healthcare provider based in Savannah, Georgia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/12/2006. The National Provider Identifier (NPI) number assigned to this provider is 1518909712.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Raphael Roybal, MD has received a total of $578,994 in payments from pharmaceutical and medical device companies, with $63,420 received in 2024. These payments were reported across 301 transactions from 30 companies. The most common payment nature is "Royalty or License" ($514,206).
As a Medicare-enrolled provider, Roybal has provided services to 938 Medicare beneficiaries, totaling 1,114 services with total Medicare billing of $147,234. Data is available for 2 years (2020–2021), covering 21 distinct procedure/service records.
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Practice Information
- Specialty Orthopaedic Surgery of the Spine
- Location Savannah, GA
- Active Since 06/12/2006
- Last Updated 03/07/2023
- Taxonomy Code 207XS0117X
- Entity Type Individual
- NPI Number 1518909712
Products in Payments
- FlareHawk (Device) $362,901
- LineSider (Device) $27,923
- FORZA (Device) $10,000
- SIghtLine (Device) $9,564
- General K2M Product Discussion (Device) $5,574
- Transfasten (Device) $4,495
- LONESTAR Cervical Stand Alone (CSA) (Device) $4,433
- EUROPA Pedicle Screw System (Device) $4,293
- STALIF C FLX (Device) $2,570
- PROLINK, AVATAR, LONGBOW, CENTRIC RETRACTOR (Device) $1,602
- LONESTAR (Device) $1,189
- MazorX Renaissance (Device) $828.15
- DARK STAR (Device) $822.32
- TITAN ENDOSKELETON (Device) $500.00
- TirboLOX Cervical (Device) $460.09
- Dark Star (Device) $429.55
- GENERAL PAIN MANAGEMENT (Device) $422.41
- SPECTRA WAVEWRITER (Device) $400.52
- GENERAL - PAIN MANAGEMENT (Device) $348.74
- Pro-link (Device) $239.33
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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