Total Payments
$7,811
2024 Payments
$1,508
Companies
15
Transactions
49
Medicare Patients
3,655
Medicare Billing
$361,254
Payment Breakdown by Category
Travel$6,458 (82.7%)
Food & Beverage$870.52 (11.1%)
Education$482.06 (6.2%)
Other$0.00 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Travel and Lodging | $6,458 | 8 | 82.7% |
| Food and Beverage | $870.52 | 40 | 11.1% |
| Education | $482.06 | 1 | 6.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Medical Device Business Services, Inc. | $4,348 | 5 | $0 (2022) |
| DePuy Synthes Sales Inc. | $1,116 | 12 | $0 (2024) |
| Zimmer Biomet Holdings, Inc. | $1,073 | 10 | $0 (2024) |
| Legacy Ortho LLC | $863.54 | 2 | $0 (2024) |
| Heron Therapeutics, Inc. | $109.72 | 4 | $0 (2024) |
| SANOFI-AVENTIS U.S. LLC | $60.45 | 3 | $0 (2017) |
| Fidia Pharma USA Inc. | $59.17 | 3 | $0 (2017) |
| Stryker Corporation | $53.49 | 1 | $0 (2023) |
| Flexion Therapeutics, Inc. | $44.43 | 3 | $0 (2018) |
| Medtronic, Inc. | $16.78 | 1 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1,508 | 14 | Legacy Ortho LLC ($863.54) |
| 2023 | $587.10 | 4 | Zimmer Biomet Holdings, Inc. ($511.84) |
| 2022 | $78.23 | 5 | Heron Therapeutics, Inc. ($36.34) |
| 2021 | $54.56 | 1 | Heron Therapeutics, Inc. ($54.56) |
| 2020 | $26.36 | 2 | DePuy Synthes Sales Inc. ($13.52) |
| 2019 | $4,333 | 4 | Medical Device Business Services, Inc. ($4,333) |
| 2018 | $1,005 | 8 | DePuy Synthes Sales Inc. ($960.63) |
| 2017 | $217.74 | 11 | SANOFI-AVENTIS U.S. LLC ($60.45) |
All Payment Transactions
49 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 09/19/2024 | PolyNovo North America LLC | NOVOSORB BTM (Device) | Food and Beverage | In-kind items and services | $15.00 | General |
| Category: SYNTHETIC DERMAL SUBSTITUTE | ||||||
| 06/25/2024 | DePuy Synthes Sales Inc. | ACTIS (Device) | Food and Beverage | In-kind items and services | $33.15 | General |
| Category: Ortho-Hip | ||||||
| 05/25/2024 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Food and Beverage | In-kind items and services | $13.38 | General |
| Category: Hips | ||||||
| 04/03/2024 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Food and Beverage | In-kind items and services | $16.78 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 03/18/2024 | Heron Therapeutics, Inc. | ZYNRELEF (Drug) | Food and Beverage | In-kind items and services | $18.82 | General |
| Category: POST SURGICAL PAIN RELIEF | ||||||
| 03/05/2024 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Food and Beverage | In-kind items and services | $57.00 | General |
| Category: Hips | ||||||
| 03/05/2024 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Food and Beverage | In-kind items and services | $30.00 | General |
| Category: Hips | ||||||
| 03/05/2024 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Food and Beverage | In-kind items and services | $15.00 | General |
| Category: Hips | ||||||
| 03/01/2024 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Travel and Lodging | In-kind items and services | $35.10 | General |
| Category: Hips | ||||||
| 03/01/2024 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Travel and Lodging | In-kind items and services | $31.78 | General |
| Category: Hips | ||||||
| 02/29/2024 | DePuy Synthes Sales Inc. | NA (Device), NA, XCM Biologic Tissue Matrix | Food and Beverage | In-kind items and services | $27.12 | General |
| Category: Trauma | ||||||
| 02/27/2024 | Legacy Ortho LLC | — | Travel and Lodging | In-kind items and services | $436.33 | General |
| 02/27/2024 | Legacy Ortho LLC | — | Travel and Lodging | In-kind items and services | $427.21 | General |
| 02/21/2024 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Travel and Lodging | In-kind items and services | $351.67 | General |
| Category: Hips | ||||||
| 11/13/2023 | Zimmer Biomet Holdings, Inc. | Comprehensive Shoulder System (Device) | Education | In-kind items and services | $482.06 | General |
| Category: Extremities | ||||||
| 06/08/2023 | DePuy Synthes Sales Inc. | NA (Device) | Food and Beverage | In-kind items and services | $21.77 | General |
| Category: Trauma | ||||||
| 05/30/2023 | Zimmer Biomet Holdings, Inc. | Persona (Device) | Food and Beverage | In-kind items and services | $29.78 | General |
| Category: Knees | ||||||
| 01/18/2023 | Stryker Corporation | OMEGA (Device), INSPACE | Food and Beverage | In-kind items and services | $53.49 | General |
| Category: HIPS | ||||||
| 12/08/2022 | Orthofix Medical, Inc. | Physio-Stim (Device) | Food and Beverage | In-kind items and services | $14.22 | General |
| Category: Stimulator, Bone Growth, Non-Invasive | ||||||
| 11/28/2022 | SI-BONE, Inc. | — | Food and Beverage | Cash or cash equivalent | $12.52 | General |
| 09/28/2022 | Heron Therapeutics, Inc. | Zynrelef (Drug) | Food and Beverage | In-kind items and services | $18.76 | General |
| Category: Postoperative Pain | ||||||
| 05/11/2022 | Heron Therapeutics, Inc. | Zynrelef (Drug) | Food and Beverage | In-kind items and services | $17.58 | General |
| Category: Postoperative Pain | ||||||
| 04/29/2022 | Medical Device Business Services, Inc. | — | Food and Beverage | In-kind items and services | $15.15 | General |
| 11/03/2021 | Heron Therapeutics, Inc. | Zynrelef (Drug) | Food and Beverage | In-kind items and services | $54.56 | General |
| Category: Postoperative Pain | ||||||
| 08/18/2020 | DJO, LLC | CMF OL1000 (Device) | Food and Beverage | In-kind items and services | $12.84 | General |
| Category: Osteogenesis Stimulators | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 135 | 145 | $248,815 | $44,732 |
| 2022 | 14 | 618 | 697 | $354,614 | $74,330 |
| 2021 | 17 | 1,443 | 1,876 | $446,467 | $126,020 |
| 2020 | 20 | 1,459 | 2,033 | $535,757 | $116,172 |
Total Patients
3,655
Total Services
4,751
Medicare Billing
$361,254
Procedure Codes
60
All Medicare Procedures & Services
60 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2023 | 25 | 26 | $163,566 | $24,867 | 15.2% |
| 27245 | Treatment of broken neck of thigh bone with bone implant | Facility | 2023 | 14 | 14 | $60,690 | $12,805 | 21.1% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 25 | 26 | $8,346 | $3,338 | 40.0% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 19 | 19 | $4,273 | $1,795 | 42.0% |
| 20610 | Aspiration and/or injection of fluid from large joint | Facility | 2023 | 21 | 26 | $8,340 | $806.31 | 9.7% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 12 | 12 | $1,488 | $727.68 | 48.9% |
| 77002 | Fluoroscopic guidance for needle placement | Facility | 2023 | 19 | 22 | $2,112 | $392.91 | 18.6% |
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2022 | 21 | 21 | $132,111 | $20,300 | 15.4% |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | Facility | 2022 | 15 | 15 | $61,605 | $13,682 | 22.2% |
| 27245 | Treatment of broken neck of thigh bone with bone implant | Facility | 2022 | 15 | 15 | $65,025 | $13,646 | 21.0% |
| 20610 | Aspiration and/or injection of fluid from large joint | Facility | 2022 | 157 | 198 | $35,483 | $5,567 | 15.7% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2022 | 52 | 52 | $6,526 | $3,891 | 59.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 67 | 73 | $5,438 | $3,790 | 69.7% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 49 | 50 | $9,400 | $3,630 | 38.6% |
| 27829 | Treatment of ligament tear at ankle joint | Facility | 2022 | 11 | 11 | $22,154 | $3,499 | 15.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 93 | 110 | $5,538 | $3,421 | 61.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2022 | 31 | 31 | $2,354 | $1,259 | 53.5% |
| 20550 | Injection into tendon or ligament | Facility | 2022 | 56 | 66 | $5,016 | $899.25 | 17.9% |
| 77002 | Fluoroscopic guidance for needle placement | Facility | 2022 | 14 | 17 | $1,632 | $294.73 | 18.1% |
| 20551 | Injection into tendon at attachment to bone or muscle | Facility | 2022 | 25 | 26 | $1,456 | $259.26 | 17.8% |
| 20552 | Injection of trigger points, 1-2 muscles | Facility | 2022 | 12 | 12 | $876.00 | $189.92 | 21.7% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Facility | 2021 | 366 | 584 | $102,635 | $21,512 | 21.0% |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | Facility | 2021 | 17 | 18 | $113,238 | $18,001 | 15.9% |
| 27236 | Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement | Facility | 2021 | 18 | 19 | $78,033 | $17,621 | 22.6% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Facility | 2021 | 286 | 413 | $20,607 | $15,244 | 74.0% |
About Dr. Robert Royalty, MD
Dr. Robert Royalty, MD is a Orthopaedic Surgery healthcare provider based in Prestonsburg, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/05/2008. The National Provider Identifier (NPI) number assigned to this provider is 1558527903.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Robert Royalty, MD has received a total of $7,811 in payments from pharmaceutical and medical device companies, with $1,508 received in 2024. These payments were reported across 49 transactions from 15 companies. The most common payment nature is "Travel and Lodging" ($6,458).
As a Medicare-enrolled provider, Royalty has provided services to 3,655 Medicare beneficiaries, totaling 4,751 services with total Medicare billing of $361,254. Data is available for 4 years (2020–2023), covering 60 distinct procedure/service records.
Ad
Practice Information
- Specialty Orthopaedic Surgery
- Location Prestonsburg, KY
- Active Since 08/05/2008
- Last Updated 09/25/2014
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1558527903
Products in Payments
- ATTUNE (Device) $5,262
- Avenir (Device) $533.93
- Comprehensive Shoulder System (Device) $482.06
- MONOVISC (Device) $104.53
- Zynrelef (Drug) $90.90
- SYNVISC-ONE (Device) $60.45
- HYMOVIS (Device) $59.17
- OMEGA (Device) $53.49
- NA (Device) $48.89
- Zilretta (Drug) $44.43
- ACTIS (Device) $33.15
- Persona (Device) $29.78
- Gel One-Knees (Biological) $27.12
- ZYNRELEF (Drug) $18.82
- AQUAMANTYS(TM) (Device) $16.78
- NOVOSORB BTM (Device) $15.00
- Physio-Stim (Device) $14.22
- CMF OL1000 (Device) $12.84
- EXPAREL (Drug) $11.42
Explore
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.