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    OpenPayerNPI Medicare & MedicaidKatherine Roarty
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    Katherine Roarty — Billing Profile & Reimbursement Data

    NPI 1407177496 · Derby, CT · Adult Health Nurse Practitioner

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    Katherine Roarty is a adult health nurse practitioner provider located in Derby, Connecticut. This profile covers 8 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKatherine Roarty
    Address130 Division St
    CityDerby
    StateCT
    ZIP06418
    TaxonomyAdult Health Nurse Practitioner
    NPI EnumeratedJune 14, 2010

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

    Payer SourceTotal Paid
    Medicare$78.5K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…410$70$29.3K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…160$110$16.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…220$50$11.4K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…170$50$8.3K
    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…90$70$5.5K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.60$90$4.9K
    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…10$110$1.5K
    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…10$90$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309197550260$80$31.3K
    99308267510190$50$20K
    992146,3046,48090$90$14.2K
    993107728080$110$12.7K
    992132,8356,44070$60$8.1K
    992042,2952,66030$120$4.6K
    993164417030$90$4K
    994971035040$60$3.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Griffin Faculty Physicians, Inc.CTThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$0$11.2M
    Impact Health P.C.CTNurse Practitioner$0$1.4M
    Marie-paule HeylenNYAdult Health Nurse Practitioner$348.2K$0
    Jennifer DodgeNYPhysician Assistant$276.4K$0
    Elizabeth CaseyCTFamily Nurse Practitioner$253.7K$0
    Chin Cheng TaiCTPrimary Care Nurse Practitioner$220.2K$0
    Michael SergiCTVascular Surgery Physician$191.5K$0
    Nicole RadiMNFamily Nurse Practitioner$183.1K$0
    Michael LipcanCTGastroenterology Physician$182.5K$0
    Amanda CostellaCTFamily Nurse Practitioner$169.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Griffin HospitalCTGeneral Acute Care Hospital$0$80.7M
    Connecticut Post Acute Medical Services 1 PCCTHospitalist Physician$0$5.1M
    Medexpress Urgent Care Connecticut, P.C.CTUrgent Care Clinic/Center$0$4.3M
    Neelima Kaushal, LLCCTObstetrics & Gynecology Physician$0$2.1M
    Lower Naugatuck Valley Parent Child Resource Center, Inc.CTMental Health Counselor$0$1.9M
    Derby Public SchoolsCTLocal Education Agency (LEA)$0$1.8M
    Dr.dental Of Derby P.C.CTGeneral Practice Dentistry$0$1M
    Carlos SchweitzerCTInternal Medicine Physician$111.7K$379.4K
    Mark ThimineurCTInterventional Pain Medicine Physician$454.4K$0
    Kenneth SpectorCTInterventional Cardiology Physician$335.3K$0

    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. Connecticut Distribution
    Katherine Roarty — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut