Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Roller
    Ask Trek AI about this page

    Matthew Roller — Billing Profile & Reimbursement Data

    NPI 1033283379 · Grand Forks, ND · Neurology Physician

    Customize your policy alerts

    Sign up for Matthew Roller — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Matthew Roller is a neurology physician provider located in Grand Forks, North Dakota. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMatthew Roller
    Address1300 S Columbia Rd
    CityGrand Forks
    StateND
    ZIP58201
    TaxonomyNeurology Physician
    NPI EnumeratedNovember 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$300.7K
    Medicaid$0

    Key Findings

    This provider’s revenue is effectively single-payer: total Medicare revenue is $300.7K and there is no Medicaid billing on file, indicating Medicare drives the entire documented public-payer footprint for this NPI. The top 3 Medicare codes by revenue account for 60.4% of this provider’s total Medicare revenue, so a small set of services concentrates most of the billed dollars.

    Procedure-driven neurology services are a major part of the business mix. J0585 (19.2K claims, $95.8K revenue, 31.7% of Medicare revenue) is the largest single revenue driver and, together with chemodenervation code 64615 ($5.9K revenue, 2.0%), signals routine use of onabotulinumtoxina and related neurotoxin procedures likely for migraine or spasticity management. The presence of procedure codes alongside EEG/EMG codes suggests the practice combines therapeutic injections with diagnostic neurophysiology.

    Hospital-based follow-up care is a clear operational emphasis: 99232 has 1K claims and $61.9K in revenue (20.5% of Medicare revenue) and ranks #4429 of 177383 providers nationally (97th percentile; notably above typical national volume). High-volume subsequent inpatient/observation E/M coding points to substantial inpatient follow-up responsibilities or strong hospital alignment rather than purely ambulatory work.

    Outpatient E/M activity is also material and supports a mixed ambulatory/hospital model: 99214 (301 claims, $25K, 8.3%) and 99213 (376 claims, $22.9K, 7.6%) together represent ongoing management of established patients, while 99204 (157 claims, $17.7K, 5.9%) shows continued new-patient clinic intake. These office visit codes indicate a balanced panel of new and returning patients in the outpatient setting.

    Revenue concentration creates sensitivity to utilization or reimbursement changes: with the top three Medicare codes making up 60.4% of overall Medicare revenue, shifts in payment policy or utilization for J0585, 99232, or 99214 could meaningfully affect total Medicare receipts. This concentration suggests monitoring those specific code lines is important for payer contracting or utilization review.

    Competitive standing is mixed by service line: J0585 ranks #539 of 3636 providers nationally (85th percentile; typical, unremarkable volume for this code), indicating the provider’s injection volume is in line with many peers, whereas inpatient E/M performance (for example 99232 at the 97th percentile and 99238 at the 96th percentile) positions the provider well above typical national volume for hospital-based E/M care. In short, the provider is a modest participant on procedural injection nationally but a strong outlier on certain inpatient evaluation-and-management services.

    Diagnostic neurophysiology and electrodiagnostic testing form a complementary revenue stream: 95816 (52 claims, $11.6K, 3.9%), 95910 (54 claims, $7K, 2.3%), and add-on EMG/needle guidance 95874 (45 claims, $2.7K, 0.9%) demonstrate routine use of EEG, nerve conduction studies, and EMG in the practice. These codes indicate in-house capacity for neurology diagnostics that support both outpatient and inpatient evaluations.

    The provider has long tenure on file, with NPI enumerated on 2006-11-20 (~20 years ago), which is consistent with an established referral base and the mix of inpatient follow-up and procedural practice documented in the billing profile. Longevity combined with high-percentile inpatient E/M ranks suggests sustained hospital relationships driving a sizable portion of Medicare revenue.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit19,150$10$95.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,030$60$61.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…300$80$25K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…380$60$22.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…150$130$19.1K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…160$110$17.7K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…50$220$11.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…110$90$9.5K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…150$60$9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$90$8.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J05851107,490$1$43.8K
    992339829060$90$11.9K
    992142261,47090$60$10.4K
    99232556070$60$10K
    6461541050$80$9K
    992233633040$130$8.9K
    99213771,49080$50$5.8K
    992042257030$100$4.4K
    992222444030$100$3.8K
    95886182070$40$3.2K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Matthew Roller, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altru Health SystemNDClinic/Center$0$29.7M
    Altru Health SystemNDGeneral Acute Care Hospital$0$18.7M
    Anil PottiNDHematology & Oncology Physician$4.9M$0
    Max JohnsonNDRetina Specialist (Ophthalmology) Physician$2.8M$0
    Altru Health SystemNDRural Health Clinic/Center$0$1.5M
    Dwight FitchFLRadiation Oncology Physician$1.5M$0
    Altru Health SystemNDAmbulance$527.6K$490.7K
    P R Health CorporationNDRural Health Clinic/Center$0$1M
    Darrin JohnsonMNDiagnostic Radiology Physician$908.4K$0
    Shree SubediWADiagnostic Radiology Physician$774.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Matthew Roller, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Development Homes IncNDCommunity/Behavioral Health Agency$0$53.9M
    L.i.s.t.e.n. IncNDCommunity/Behavioral Health Agency$0$9.4M
    Peterson Medical Clinics, LLCNDMulti-Specialty Clinic/Center$0$8.8M
    Edgewood Sartell LLCNDAssisted Living Facility$0$7.1M
    Northeast Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$5.5M
    Little Miracles, Inc.NDMulti-Specialty Clinic/Center$0$5.5M
    Valley Oral & Facial Surgery PCNDOral and Maxillofacial Surgery Clinic/Center$0$4.5M
    Rehabauthority, LLCNDMulti-Specialty Clinic/Center$0$3.5M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$3.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Dakota Distribution
    Matthew Roller — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota