Letitia Royster, MD
Obstetrics & Gynecology · Riverdale, GANPI 1356425292
Payments from drug & device makers
What this record shows
This record is dominated by education: $1,500 of the $2,197 with a category attached, or 68.3%. Intuitive Surgical accounts for 72.8% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2022 at $1,517 and has fallen 86.3% since, to $208 in 2025.
Across 34 payments — averaging $64.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- AbbVie$83
- Astellas Pharma US Inc$72
- Channel Medsystems, Inc.$62
- Johnson & Johnson$56
- Hologic Sales And Service, LLC$34
- plus $290 from 13 others
What the payments were for
- Food & beverage$69732%
- Education$1,50068%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Intuitive Surgical | 3 | $1,600 |
| AbbVie(2 entities) | 5 | $83 |
| Astellas Pharma US Inc | 3 | $72 |
| Channel Medsystems, Inc. | 1 | $62 |
| Johnson & Johnson | 2 | $56 |
| Hologic Sales And Service, LLC | 2 | $34 |
| Bayer | 2 | $34 |
| Amgen | 2 | $32 |
| Exact Sciences | 2 | $30 |
| Coopersurgical, Inc. | 2 | $29 |
| Lupin Inc. | 2 | $27 |
| Biom'up SA | 1 | $22 |
| Millicent US Inc | 1 | $21 |
| Roche Diagnostics Corporation | 1 | $19 |
| Merck | 1 | $17 |
| Exeltis, USA Inc. | 1 | $17 |
| Kvk-tech, Inc. | 1 | $16 |
| Sumitomo Pharma America, Inc. | 1 | $14 |
| Optumhealth Care Solutions, LLC | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- DAVINCI XI$1,500
How this compares
$2,197 in reported general payments places this provider in the 70th percentile of 1,324 obstetrics & gynecology providers in Georgia.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ValacyclovirValacyclovir Hcl | 11 | $179 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Riverdale
- Edmund KimLawrenceville$628K
- Jacquelin WaltersDuluth$147K
- Nicole SparksJohns Creek$121K
- Lethenia BakerThomaston$111K
- Renee AllenAtlanta$74K
- Matthew RalstenFayetteville$64K
- Murray FreedmanAugusta$48K
- Tosha Rogers-JonesAtlanta$46K
- Teresa ByrdMarietta$41K
- Christopher BassilSuwanee$39K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.