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NPI 1124109335 · Du Bois, PA · Otolaryngology Physician
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Gregory Roscoe is a otolaryngology physician provider located in Du Bois, Pennsylvania. This profile covers 21 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Gregory Roscoe |
| Address | 871 Beaver Dr |
| City | Du Bois |
| State | PA |
| ZIP | 15801 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | October 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $700.7K |
| Medicare | $188.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 4,290 | $10 | $42.9K |
| 99213 | The 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… | 520 | $60 | $30.6K |
| 99214 | The 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… | 260 | $90 | $23K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 490 | $30 | $14.6K |
| 95115 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit. | 1,690 | $10 | $11.8K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 130 | $90 | $11.6K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 3,480 | $1 | $10.4K |
| 99204 | The 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… | 90 | $120 | $10.1K |
| 69222 | The provider cleans out the cavity left by a mastoidectomy; the procedure requires anesthesia or more extensive debridement than normal. Patients sometimes require one or more debridement procedures… | 50 | $170 | $8.8K |
| 69620 | The provider performs a myringoplasty, or surgical repair of the eardrum, using graft material such as a piece of fascia or a plug of fat. The surgery involves only the drumhead of the tympanic… | 20 | $460 | $8.7K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 95165 | 12 | 150 | 790 | $10 | $15.9K |
| 31231 | 282 | 320 | 60 | $130 | $15K |
| 99214 | 5,106 | 23,230 | 100 | $80 | $14.5K |
| 69620 | 1 | 10 | 20 | $460 | $8.7K |
| 99213 | 914 | 22,370 | 70 | $60 | $7.7K |
| 69222 | 2 | 10 | 40 | $190 | $7.2K |
| 31575 | 61 | 380 | 60 | $90 | $6.6K |
| 69436 | 7 | 20 | 20 | $280 | $6.2K |
| 99204 | 1,206 | 10,290 | 30 | $110 | $5K |
| 95117 | 99 | 170 | 300 | $10 | $4.3K |
Showing 1–10 of 21
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 3,420 | $60 | $198.1K |
| 99213 | The 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… | 4,700 | $30 | $145.8K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 1,270 | $60 | $70.1K |
| 99203 | The provider sees a new 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 provider… | 1,140 | $50 | $59.2K |
| 99214 | The 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… | 1,010 | $40 | $43.3K |
| 95115 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit. | 12,680 | $1 | $38K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,190 | $30 | $31K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 440 | $60 | $26.5K |
| 99204 | The 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… | 310 | $80 | $24.6K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 1,180 | $20 | $18.8K |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 27 | 30 | 60 | $1,390 | $305.3K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 9 | 50 | 70 | $620 | $190.6K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 643 | 980 | 310 | $50 | $136.6K |
| 99214 | The 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… | 1,783 | 8,160 | 210 | $60 | $68.4K |
| 99213 | The 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… | 549 | 8,870 | 240 | $40 | $56.1K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 2 | 60 | 140 | $120 | $54.5K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 7 | 60 | 130 | $70 | $34.5K |
| 99204 | The 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… | 276 | 1,410 | 60 | $90 | $30.5K |
| 99203 | The provider sees a new 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 provider… | 134 | 1,620 | 80 | $60 | $28.4K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 31 | 70 | 60 | $70 | $22.2K |
Showing 1–10 of 18
Other providers in the same ZIP code as Gregory Roscoe, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Peritech Home Health Associates LLC | PA | Home Health Agency | $0 | $31.5M |
| Interim Healthcare Of Western Pennsylvania Inc | PA | Home Health Agency | $0 | $21.2M |
| Dubois Regional Medical Center | PA | General Acute Care Hospital | $0 | $18.7M |
| Brookville Behavioral Health Inc. | PA | Community/Behavioral Health Agency | $0 | $16.7M |
| County Homemakers Inc | PA | In Home Supportive Care Agency | $0 | $8.6M |
| Behavioral Advancements Of Dubois | PA | Psychologist | $0 | $6.8M |
| Brandon Roscoe | PA | Family Medicine Physician | $690.1K | $546.1K |
| Lisa Pfingstler | PA | Dermatology Physician | $581.7K | $257.3K |
| Tuesdae Stainbrook | PA | Infectious Disease Physician | $373.4K | $229.2K |
| Jeffrey Rice | PA | Oral and Maxillofacial Surgery (Dentist) | $7.3K | $533.2K |
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