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    OpenPayerNPI Medicare & MedicaidWilliam Roach
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    William Roach — Billing Profile & Reimbursement Data

    NPI 1538125497 · Visalia, CA · Family Medicine Physician

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    William Roach is a family medicine physician provider located in Visalia, California. This profile covers 10 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
    OrganizationWilliam Roach
    Address1860 S Central St
    CityVisalia
    StateCA
    ZIP93277
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 20, 2006

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

    Payer SourceTotal Paid
    Medicare$51.1K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…430$70$31.2K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…170$40$7.1K
    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…50$100$5.4K
    99203The 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…60$80$4.7K
    99212The 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,…20$50$690
    69209The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort.40$10$470
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.30$20$460
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.20$30$430
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.20$20$260
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…110$1$220

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921426,36537,970120$90$23.2K
    992134,04834,66080$70$13.2K
    992033,46712,74030$80$4.6K
    992126,5787,97030$40$3.4K
    87428826020$50$1.7K
    90715155010$30$430
    8788015885020$20$380
    810033332,44030$1$300
    692094959020$10$290
    904713410010$20$280

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaweah Delta Health Care DistrictCAGeneral Acute Care Hospital$0$83.2M
    Kaweah Delta Health Care DistrictCARural Health Clinic/Center$0$68.9M
    Daniel WatrousCARheumatology Physician$4M$5M
    Dilsher DhootCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Daniel LearnedCARetina Specialist (Ophthalmology) Physician$5.1M$0
    Shashi SharmaCAInterventional Cardiology Physician$3.6M$7.3K
    Nallathamby ThayapranCAInterventional Cardiology Physician$3.2M$0
    Srikanth NaramalaCARheumatology Physician$2.8M$0
    Ian DuncanCAOrthopaedic Surgery Physician$2.2M$0
    Manisha MittalCARheumatology Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of TulareCAState or Local Public Health Clinic/Center$0$273.8M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$31M
    Kusai AzizCANuclear Cardiology Physician$2.1M$648.9K
    Robert HavardCAMedical Oncology Physician$1.9M$0
    Noble Surgery CenterCAAmbulatory Surgical Clinic/Center$1.2M$270.3K
    Phillip MyersCAPhysician Assistant$1.4M$0
    Kazi RahmanCAFoot & Ankle Surgery Podiatrist$1.1M$0
    Tom YangCANephrology Physician$877.6K$0
    Abdulrahman HamdiCAVascular Surgery Physician$822.3K$0
    Joshua DayCAPhysician Assistant$764.4K$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. California Distribution
    William Roach — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California