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 & MedicaidMarcella Roach
    Ask Trek AI about this page

    Marcella Roach — Billing Profile & Reimbursement Data

    NPI 1568996387 · Arlington, VA · Surgical Physician Assistant

    Customize your policy alerts

    Sign up for Marcella Roach — 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.

    Marcella Roach is a surgical physician assistant provider located in Arlington, Virginia. This profile covers 13 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 / 8

    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
    OrganizationMarcella Roach
    Address2445 Army Navy Dr
    CityArlington
    StateVA
    ZIP22206
    TaxonomySurgical Physician Assistant
    NPI EnumeratedApril 18, 2017

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

    Payer SourceTotal Paid
    Medicare$55.2K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…90$180$15.4K
    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…230$70$15.2K
    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…70$80$5.3K
    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…60$90$4.8K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.390$10$4.3K
    23440In this procedure, the provider surgically resects or transplants the long tendon of the biceps to a new point of attachment. He performs this procedure to improve the stability of the shoulder joint.70$50$3.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…60$50$2.8K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$130$2.5K
    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$40$660
    J1030Injection, methylprednisolone acetate, 40 mg100$10$580

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    298276312020$1,010$29.2K
    23472510030$780$26.5K
    992149,40012,890140$80$21K
    2344021070$220$13.1K
    992132,70612,44090$60$10K
    206105531,16060$50$6.1K
    992031,1694,92030$70$3.8K
    29826478020$100$2.5K
    992122,3082,83030$40$2.3K
    730302099050$20$1.4K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alex PavidaphaVAVascular & Interventional Radiology Physician$3.5M$0
    Kevin FrickaVAAdult Reconstructive Orthopaedic Surgery Physician$481K$0
    Robert SershonVAAdult Reconstructive Orthopaedic Surgery Physician$464.9K$0
    Bradley WillsALOrthopaedic Surgery Physician$440.2K$0
    William HamiltonVAAdult Reconstructive Orthopaedic Surgery Physician$396.6K$0
    Corey WallachVAOrthopaedic Surgery of the Spine Physician$394.4K$0
    Sandeep BaglaVAVascular & Interventional Radiology Physician$393K$0
    William JohnsonMSOrthopaedic Surgery Physician$392K$0
    Craig McaseyVAAdult Reconstructive Orthopaedic Surgery Physician$342.2K$0
    Ryan HubbardVASports Medicine (Family Medicine) Physician$335.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blake PetersonVAOrthopaedic Surgery Physician$412K$0
    Insight Health CorpVADiagnostic Radiology Physician$348.1K$0
    Daniel GerscovichVAOrthopaedic Surgery Physician$345K$0
    Nigel AzerVAAdult Reconstructive Orthopaedic Surgery Physician$317.3K$0
    Sameer NagdaVASports Medicine (Orthopaedic Surgery) Physician$295.6K$0
    Stephen SaddlerVASports Medicine (Orthopaedic Surgery) Physician$241.1K$0
    C EnghVAAdult Reconstructive Orthopaedic Surgery Physician$236.3K$0
    Christopher WalshVAInternal Medicine Physician$186.2K$0
    Rikesh GandhiVAOrthopaedic Hand Surgery Physician$181.2K$0
    Aaron GebrelulVAAdult Reconstructive Orthopaedic Surgery Physician$169.8K$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. Virginia Distribution
    Marcella Roach — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia