Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $444.33 | 17 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Edwards Lifesciences Corporation | $212.52 | 4 | $0 (2022) |
| Merck Sharp & Dohme LLC | $45.66 | 3 | $0 (2023) |
| Heron Therapeutics, Inc. | $35.95 | 1 | $0 (2024) |
| Chiesi USA, Inc. | $35.12 | 2 | $0 (2022) |
| Kiniksa Pharmaceuticals International, plc | $32.59 | 2 | $0 (2024) |
| Amgen Inc. | $22.65 | 1 | $0 (2022) |
| Pacira Pharmaceuticals Incorporated | $16.00 | 1 | $0 (2017) |
| Lexicon Pharmaceuticals, Inc. | $15.57 | 1 | $0 (2023) |
| AstraZeneca Pharmaceuticals LP | $15.00 | 1 | $0 (2023) |
| Janssen Pharmaceuticals, Inc | $13.27 | 1 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $66.58 | 3 | Heron Therapeutics, Inc. ($35.95) |
| 2023 | $60.02 | 4 | Lexicon Pharmaceuticals, Inc. ($15.57) |
| 2022 | $149.82 | 7 | Edwards Lifesciences Corporation ($60.61) |
| 2018 | $30.91 | 1 | Edwards Lifesciences Corporation ($30.91) |
| 2017 | $137.00 | 2 | Edwards Lifesciences Corporation ($121.00) |
All Payment Transactions
17 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 07/01/2024 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $13.27 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 06/12/2024 | Heron Therapeutics, Inc. | ZYNRELEF (Drug) | Food and Beverage | In-kind items and services | $35.95 | General |
| Category: POST SURGICAL PAIN RELIEF | ||||||
| 05/23/2024 | Kiniksa Pharmaceuticals International, plc | Arcalyst (Drug) | Food and Beverage | In-kind items and services | $17.36 | General |
| Category: Not Applicable | ||||||
| 11/08/2023 | Merck Sharp & Dohme LLC | VERQUVO (Drug), VERQUVO | Food and Beverage | In-kind items and services | $14.22 | General |
| Category: CARDIOVASCULAR | ||||||
| 11/07/2023 | Kiniksa Pharmaceuticals, Ltd. | Arcalyst (Drug) | Food and Beverage | Cash or cash equivalent | $15.23 | General |
| Category: Not Applicable | ||||||
| 09/12/2023 | AstraZeneca Pharmaceuticals LP | FARXIGA (Drug) | Food and Beverage | In-kind items and services | $15.00 | General |
| Category: Cardiovascular and Metabolism | ||||||
| 07/19/2023 | Lexicon Pharmaceuticals, Inc. | Inpefa (Drug) | Food and Beverage | In-kind items and services | $15.57 | General |
| Category: Inhibitor of SGLT2 and SGLT1 | ||||||
| 12/06/2022 | Edwards Lifesciences Corporation | Edwards SAPIEN 3 Ultra Transcatheter Heart Valve (Device) | Food and Beverage | In-kind items and services | $45.50 | General |
| Category: Transcatheter Heart Valves | ||||||
| 10/06/2022 | Chiesi USA, Inc. | KENGREAL (Drug) | Food and Beverage | Cash or cash equivalent | $19.31 | General |
| Category: CARDIOVASCULAR | ||||||
| 09/20/2022 | Amgen Inc. | Repatha (Biological) | Food and Beverage | In-kind items and services | $22.65 | General |
| Category: Cardiology | ||||||
| 08/30/2022 | Merck Sharp & Dohme LLC | VERQUVO (Drug) | Food and Beverage | In-kind items and services | $17.61 | General |
| Category: CARDIOVASCULAR | ||||||
| 06/23/2022 | Edwards Lifesciences Corporation | HemoSphere (Device) | Food and Beverage | In-kind items and services | $15.11 | General |
| Category: Hemodynamic Monitoring | ||||||
| 06/10/2022 | Chiesi USA, Inc. | KENGREAL (Drug), CLEVIPREX | Food and Beverage | Cash or cash equivalent | $15.81 | General |
| Category: CARDIOVASCULAR | ||||||
| 05/09/2022 | Merck Sharp & Dohme LLC | VERQUVO (Drug) | Food and Beverage | In-kind items and services | $13.83 | General |
| Category: CARDIOVASCULAR | ||||||
| 02/02/2018 | Edwards Lifesciences Corporation | EV1000 Clinical Platform (Device) | Food and Beverage | In-kind items and services | $30.91 | General |
| Category: Minimally Invasive Hemodynamic Monitoring | ||||||
| 12/06/2017 | Pacira Pharmaceuticals Incorporated | EXPAREL (Drug) | Food and Beverage | In-kind items and services | $16.00 | General |
| Category: PAIN MANAGEMENT | ||||||
| 02/16/2017 | Edwards Lifesciences Corporation | EV1000 Clinical Platform (Device) | Food and Beverage | In-kind items and services | $121.00 | General |
| Category: Minimally Invasive Hemodynamic Monitoring | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 91 | 97 | $122,125 | $12,850 |
| 2022 | 7 | 127 | 132 | $171,695 | $15,031 |
| 2021 | 8 | 162 | 163 | $149,149 | $11,646 |
| 2020 | 15 | 307 | 310 | $455,758 | $18,086 |
All Medicare Procedures & Services
35 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 00567 | Anesthesia for heart artery bypass grafting on heart-lung machine | Facility | 2023 | 20 | 20 | $68,649 | $6,397 | 9.3% |
| 00350 | Anesthesia for other procedure on large blood vessel of neck | Facility | 2023 | 15 | 15 | $20,646 | $2,313 | 11.2% |
| 00520 | Anesthesia for other closed procedure on chest | Facility | 2023 | 22 | 25 | $18,200 | $1,992 | 10.9% |
| 00410 | Anesthesia for procedure to correct abnormal heart rhythm | Facility | 2023 | 23 | 26 | $9,522 | $1,283 | 13.5% |
| 01922 | Anesthesia for x-ray or radiation therapy | Facility | 2023 | 11 | 11 | $5,108 | $864.93 | 16.9% |
| 00567 | Anesthesia for heart artery bypass grafting on heart-lung machine | Facility | 2022 | 12 | 12 | $54,064 | $4,270 | 7.9% |
| 00520 | Anesthesia for other closed procedure on chest | Facility | 2022 | 34 | 36 | $32,612 | $3,298 | 10.1% |
| 00350 | Anesthesia for other procedure on large blood vessel of neck | Facility | 2022 | 11 | 12 | $30,206 | $2,374 | 7.9% |
| 00410 | Anesthesia for procedure to correct abnormal heart rhythm | Facility | 2022 | 32 | 34 | $10,218 | $1,556 | 15.2% |
| 00530 | Anesthesia for insertion of permanent heart pacemaker | Facility | 2022 | 13 | 13 | $22,853 | $1,472 | 6.4% |
| 01922 | Anesthesia for x-ray or radiation therapy | Facility | 2022 | 13 | 13 | $8,779 | $1,167 | 13.3% |
| 00400 | Anesthesia for other procedure on skin of arms, legs, and front body | Facility | 2022 | 12 | 12 | $12,962 | $894.82 | 6.9% |
| 00670 | Anesthesia for procedure on spine and spinal cord | Facility | 2021 | 29 | 29 | $49,276 | $4,340 | 8.8% |
| 00811 | Anesthesia for procedure on large bowel using an endoscope | Facility | 2021 | 36 | 36 | $20,534 | $1,916 | 9.3% |
| 00812 | Anesthesia for diagnostic examination of large bowel using an endoscope | Facility | 2021 | 26 | 26 | $13,050 | $1,464 | 11.2% |
| 00630 | Anesthesia for procedure on lower spine | Facility | 2021 | 14 | 14 | $24,861 | $1,455 | 5.9% |
| 00731 | Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 13 | 14 | $9,103 | $787.57 | 8.7% |
| 00400 | Anesthesia for procedure on skin of arms, legs, or trunk | Facility | 2021 | 12 | 12 | $10,877 | $697.01 | 6.4% |
| 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | Facility | 2021 | 19 | 19 | $20,173 | $667.85 | 3.3% |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | Facility | 2021 | 13 | 13 | $1,275 | $318.46 | 25.0% |
| 00537 | Anesthesia for procedure on heart to correct abnormal rhythm | Facility | 2020 | 16 | 17 | $74,210 | $3,044 | 4.1% |
| 00731 | Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2020 | 33 | 33 | $48,689 | $2,201 | 4.5% |
| 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | Facility | 2020 | 58 | 58 | $62,930 | $2,057 | 3.3% |
| 00320 | Anesthesia for procedure on esophagus and neck, age 1 year or older | Facility | 2020 | 12 | 12 | $40,906 | $1,929 | 4.7% |
| 01402 | Anesthesia for open or endoscopic total knee joint replacement | Facility | 2020 | 16 | 16 | $40,544 | $1,895 | 4.7% |
About Dr. Robert Royster, M.D
Dr. Robert Royster, M.D is a Anesthesiology healthcare provider based in Roanoke, Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/01/2006. The National Provider Identifier (NPI) number assigned to this provider is 1023047255.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Robert Royster, M.D has received a total of $444.33 in payments from pharmaceutical and medical device companies, with $66.58 received in 2024. These payments were reported across 17 transactions from 10 companies. The most common payment nature is "Food and Beverage" ($444.33).
As a Medicare-enrolled provider, Royster has provided services to 687 Medicare beneficiaries, totaling 702 services with total Medicare billing of $57,613. Data is available for 4 years (2020–2023), covering 35 distinct procedure/service records.
Practice Information
- Specialty Anesthesiology
- Other Specialties Anesthesiology, Critical Care Medicine
- Location Roanoke, VA
- Active Since 07/01/2006
- Last Updated 02/10/2025
- Taxonomy Code 207L00000X
- Entity Type Individual
- NPI Number 1023047255
Products in Payments
- EV1000 Clinical Platform (Device) $151.91
- VERQUVO (Drug) $45.66
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve (Device) $45.50
- ZYNRELEF (Drug) $35.95
- KENGREAL (Drug) $35.12
- Arcalyst (Drug) $32.59
- Repatha (Biological) $22.65
- EXPAREL (Drug) $16.00
- Inpefa (Drug) $15.57
- HemoSphere (Device) $15.11
- FARXIGA (Drug) $15.00
- XARELTO (Drug) $13.27
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.
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