Medicare Enrolled
Dr. Rachel Roylance, PA
Physician Assistant · Longview, WA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Roylance from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Roylance
Dr. Rachel Roylance is a physician assistant in Longview, WA, with 8 years of NPI registration. Based on federal Medicare data, Dr. Roylance performed 2,642 Medicare services across 1,729 unique beneficiaries.
Between the years covered by Open Payments, Dr. Roylance received a total of $8,886 from 56 pharmaceutical and/or device companies across 373 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Roylance is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 8 years in practice
▲ Top 4% volume in WA
$8,886 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,642
Medicare services
Top 4% in WA for physician assistant
1,729
Unique beneficiaries
$32
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~330 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
726 | $73 | $198 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
268 | $1 | $2 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
174 | $8 | $12 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
120 | $8 | $21 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
119 | $10 | $26 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
117 | $9 | $47 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
105 | $10 | $36 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
103 | $16 | $56 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
93 | $15 | $53 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
92 | $13 | $30 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
89 | $7 | $15 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
88 | $29 | $93 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
67 | $100 | $266 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
65 | $9 | $31 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
60 | $4 | $17 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
59 | $48 | $163 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
37 | $1 | $5 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
36 | $0 | $10 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
22 | $6 | $19 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
21 | $5 | $14 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
19 | $19 | $63 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
18 | $69 | $140 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
18 | $21 | $53 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
17 | $29 | $74 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
17 | $19 | $66 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
17 | $74 | $271 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
17 | $103 | $201 |
| Annual depression screening | 17 | $15 | $42 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
15 | $24 | $62 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
15 | $4 | $19 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
11 | $26 | $35 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$8,886
Total received (2021-2024)
Avg $2,221/year across 4 years
Top 1% in WA for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
56
Companies
373
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,652 (97.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$234 (2.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,475
2023
$2,010
2022
$2,034
2021
$2,367
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$406
ABBVIE INC.
$340
GlaxoSmithKline, LLC.
$226
AstraZeneca Pharmaceuticals LP
$219
Boehringer Ingelheim Pharmaceuticals, Inc.
$148
Alkermes, Inc.
$131
Novo Nordisk Inc
$112
Astellas Pharma US Inc
$90
Lundbeck LLC
$78
PFIZER INC.
$76
Esperion Therapeutics, Inc.
$67
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$65
Amgen Inc.
$60
Edwards Lifesciences Corporation
$57
Lilly USA, LLC
$57
Exact Sciences Corporation
$51
Kowa Pharmaceuticals America, Inc.
$46
Mylan Specialty L.P.
$37
GENZYME CORPORATION
$37
Echosens North America, Inc.
$24
Otsuka America Pharmaceutical, Inc.
$24
Boston Scientific Corporation
$22
SHIELD THERAPEUTICS INC
$22
E.R. Squibb & Sons, L.L.C.
$21
Radius Health, Inc.
$21
Azurity Pharmaceuticals, Inc.
$21
Organogenesis Inc.
$15
Top 3 companies account for 39.3% of 2024 payments
All-time payments by company (2021-2024) ›
AstraZeneca Pharmaceuticals LP
$782
GlaxoSmithKline, LLC.
$648
Novartis Pharmaceuticals Corporation
$644
ABBVIE INC.
$628
Lilly USA, LLC
$590
Amgen Inc.
$494
Novo Nordisk Inc
$451
Boehringer Ingelheim Pharmaceuticals, Inc.
$386
Esperion Therapeutics, Inc.
$342
Janssen Pharmaceuticals, Inc
$320
Daiichi Sankyo Inc.
$310
PFIZER INC.
$266
Biohaven Pharmaceuticals, Inc.
$244
Teva Pharmaceuticals USA, Inc.
$238
Astellas Pharma US Inc
$234
Otsuka America Pharmaceutical, Inc.
$229
Mylan Specialty L.P.
$196
Lundbeck LLC
$160
E.R. Squibb & Sons, L.L.C.
$143
Alkermes, Inc.
$131
AbbVie Inc.
$127
SANOFI-AVENTIS U.S. LLC
$112
Takeda Pharmaceuticals U.S.A., Inc.
$107
Amarin Pharma Inc.
$93
Biohaven Pharmaceutical Holding Company Ltd.
$81
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$80
Edwards Lifesciences Corporation
$57
ALK-Abello, Inc
$54
Exact Sciences Corporation
$51
Kowa Pharmaceuticals America, Inc.
$46
Bayer Healthcare Pharmaceuticals Inc.
$44
ITI, Inc.
$41
GENZYME CORPORATION
$37
BOSTON SCIENTIFIC CORPORATION
$37
Arbor Pharmaceuticals, Inc.
$36
Sunovion Pharmaceuticals Inc.
$35
Grifols USA, LLC
$35
Electromed, Inc.
$28
Actelion Pharmaceuticals US, Inc.
$26
MAYNE PHARMA COMMERCIAL LLC
$24
Echosens North America, Inc.
$24
Xeris Pharmaceuticals, Inc.
$23
Boston Scientific Corporation
$22
SHIELD THERAPEUTICS INC
$22
Radius Health, Inc.
$21
Lucid Diagnostics Inc.
$21
Azurity Pharmaceuticals, Inc.
$21
Medtronic, Inc.
$19
Bayer HealthCare Pharmaceuticals Inc.
$18
Digestive Care, Inc.
$18
Corium, LLC
$18
ARBOR PHARMACEUTICALS, INC.
$16
Organogenesis Inc.
$15
Gilead Sciences, Inc.
$14
Bardy Diagnostics, Inc.
$14
IDORSIA PHARMACEUTICALS US INC
$13
Top 3 companies account for 23.4% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ACCRUFER · AIMOVIG · AIRSUPRA · ARALAST · AREXVY · AUSTEDO · Aimovig · Azstarys · BREZTRI · CAMZYOS · CAPLYTA · COMIRNATY · CREON · Carnation Ambulatory Monitor · Cologuard Collection Kit · DUPIXENT · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · EMGALITY · ENTRESTO · Edarbi · FARXIGA · FASENRA · FibroScan · GEMTESA · GVOKE PFS · Grastek · HORIZANT · Horizant · INJECTAFER · JARDIANCE · Kerendia · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYBALVI · MINIMED 780G · MOUNJARO · MYRBETRIQ · NEXLETOL · NEXLIZET · NOVACHOR · NUCALA · NURTEC ODT · OFEV · Otezla · Ozempic · PAXLOVID · PREMARIN · PREVNAR 20 · Pertzye · Ponvory · Prolastin-C Liquid · QULIPTA · QUVIVIQ · RELISTOR · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SMARTVEST · SOLIQUA 100/33 · SPRAVATO · STIOLTO RESPIMAT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tymlos · UBRELVY · UPTRAVI · VRAYLAR · VYVANSE · Vascepa · WATCHMAN · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · YUPELRI · Yupelri · ZORYVE
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for physician assistant in WA.
Geographic Context
Physician assistants within 10 mi
41
Per 100K population
36.8
County median income
$72,932
Nearest hospital
PEACEHEALTH ST JOHN MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Roylance is a clinical cardiology specialist, with above-average Medicare volume (top 4% in WA), with low-engagement industry engagement in the top 1% of WA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Roylance experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Roylance performed 726 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Roylance receive payments from pharmaceutical companies?
Yes. Dr. Roylance received a total of $8,886 from 56 companies across 373 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Roylance's costs compare to other physician assistants in Longview?
Dr. Roylance's average Medicare payment per service is $32. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Roylance) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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