Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Roderick Roxas (NPI 1124279385)

Field	Value
Entity Type	Individual
Organization	Roderick Roxas
Address	1653 W Congress Pkwy
City	Chicago
State	IL
ZIP	60612
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 7, 2008

Payer Source	Total Paid
Medicare	$99.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	430	$140	$62.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	110	$180	$19.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	180	$90	$15.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$60	$1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	130	$10	$770
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	10	$30	$380
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10	$10	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Roderick Roxas — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	131	2,640	130	$140	$23.1K
99291	581	2,940	50	$170	$13.4K
99284	166	2,670	70	$90	$7.3K
93010	1,842	1,890	120	$10	$2.4K
99283	897	1,420	20	$50	$1.6K
12001	6	10	10	$30	$620
93042	72	270	80	$10	$560

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Hospital Of The Monterey Peninsula	CA	General Acute Care Hospital	$0	$88.5M
James Joye	CA	Interventional Cardiology Physician	$4.5M	$0
Nancy Rubin	CA	Hematology & Oncology Physician	$2M	$0
Ajanta De	CA	Interventional Cardiology Physician	$1.5M	$0
Michael Plainse	CA	Cardiovascular Disease Physician	$596.5K	$0
Samrat Sanghvi	CA	Radiation Oncology Physician	$512.6K	$0
Jeffrey Keating	CA	Anatomic Pathology & Clinical Pathology Physician	$442.5K	$0
Matthew Susko	CA	Radiation Oncology Physician	$353.7K	$0
Christopher Oh	CA	Nuclear Cardiology Physician	$347.3K	$0
Robert Gardner	CA	Diagnostic Radiology Physician	$335.5K	$0

Roderick Roxas — Billing Profile & Reimbursement Data

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Roderick Roxas — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References