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 Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana 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. Montana (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.

Roger Barth (NPI 1730195801)

Field	Value
Entity Type	Individual
Organization	Roger Barth
Address	175 Timberwolf Pkwy
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicare	$422.8K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is modest in absolute scale with Total Medicare revenue of $422.8K and no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) from a claims-record perspective; the absence of any Medicaid activity should be treated as a material characteristic of the payer mix rather than a small omission. That concentration means revenue and network leverage will be driven by Medicare reimbursement dynamics and older adult patient volumes.

Revenue is highly concentrated in cataract and comprehensive eye‑care codes: the top three Medicare codes (66984, 92014, 66982) account for 52.5% of this provider's total Medicare revenue, with 66984 contributing $107.1K (25.3%), 92014 contributing $63.5K (15.0%), and 66982 contributing $51.1K (12.1%). These three codes together dominate earnings and indicate that surgical cataract work plus related evaluation services are the primary revenue drivers.

The procedure mix signals a cataract‑focused ophthalmology practice with integrated office care: 66984 and 66982 are intraocular lens implantation/cataract extraction codes (including complex techniques for 66982), while 92014 is a comprehensive established‑patient eye exam. High utilization of these codes together suggests the provider performs surgery and provides perioperative evaluation and follow‑up in the office setting rather than acting only as a surgical consultant.

Competitive standing on the surgical side is mixed: 66982 ranks #345 of 4580 providers nationally (92th percentile; typical, unremarkable volume for this code), indicating above‑typical national activity for complex cataract procedures, while 66984 ranks #4159 of 15965 (74th percentile; typical, unremarkable volume for this code), which is consistent with a mid‑to‑upper‑tier volume for standard cataract extractions. In short, the provider appears stronger than average at complex cataract cases but shows routine national volumes on the more common cataract extraction code.

Office visit and ancillary service volumes are a relative strength. Evaluation & management code 99213 ranks #16050 of 457151 providers nationally (96th percentile; notably above typical national volume), and 92014 ranks #2558 of 35415 (93th percentile; typical, unremarkable volume for this code), which together indicate robust established‑patient clinic throughput and ongoing medical management alongside the surgical practice. High E/M volume supports a steady referral and follow‑up stream that complements the procedure revenue.

Diagnostic imaging and functional testing are also prominent in the billed mix: 92083 (visual field) ranks #839 of 25484 providers (97th percentile; notably above typical national volume), 92136 (IOL measurements) ranks #1054 of 8731 (88th percentile; typical, unremarkable volume), 92134 (retina imaging) ranks #4185 of 26868 (84th percentile; typical, unremarkable volume), and 92133 (optic nerve imaging) ranks #2088 of 24968 (92th percentile; typical, unremarkable volume). These patterns show the practice performs substantial diagnostic work to support cataract, retina, and glaucoma care, reinforcing a surgery‑plus‑office care model.

There are a few lower‑share services that provide clinical breadth but not major revenue: intravitreal injection 67028 makes up $13.1K (3.1% of Medicare revenue) and ranks #3298 of 4255 (22th percentile; typical, unremarkable volume for this code), and laser capsulotomy 66821 contributes $25.8K (6.1%) and ranks #2239 of 10087 (78th percentile; typical, unremarkable volume). These figures indicate occasional retina or post‑surgical procedures are part of the case mix but are not primary revenue generators.

The provider has a long billing tenure, with NPI enumerated on 2006-07-31 (~20 years ago), which suggests a stable, established practice history in the market. Combined with the Medicare‑only billing record, the longevity implies entrenched referral relationships in the Medicare population but also indicates any payer expansion (e.g., adding Medicaid contracts) would represent a meaningful change to the current business profile.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	290	$370	$107.1K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	800	$80	$63.5K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	100	$510	$51.1K
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…	660	$60	$39.7K
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…	300	$90	$26.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	100	$250	$25.8K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	450	$40	$19K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	150	$90	$13.1K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	70	$190	$12.8K
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…	110	$120	$12.8K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Roger Barth — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	16	120	50	$490	$78.1K
67028	18	20	390	$90	$73.7K
J7999	8	10	470	$70	$45.4K
66982	3	30	30	$600	$29.6K
92014	13	170	190	$80	$22.7K
66821	13	70	50	$220	$18.3K
99214	309	1,810	100	$70	$12.4K
92012	27	50	80	$60	$11.9K
92136	8	30	270	$30	$8.9K
92134	23	160	100	$30	$7.8K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Billings Clinic	MT	General Practice Physician	$0	$53.8M
Billings Clinic	MT	Emergency Care Clinic/Center	$0	$15.7M
Billings Clinic	MT	General Acute Care Hospital	$0	$3.1M
Omar Ahmed	NY	Neurology Physician	$1M	$1.8M
Billings Clinic	MT	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Glacier Eye Clinic PC	MT	Ophthalmology Physician	$0	$2.3M
Applied Health Services Incorporated	MT	Durable Medical Equipment & Medical Supplies	$0	$2.2M
Aaron Alme	MT	Ophthalmology Physician	$2.1M	$0
Pamela Smith	KY	Hematology & Oncology Physician	$1.8M	$0
Charles Mayron	TX	Retina Specialist (Ophthalmology) Physician	$1.4M	$16.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M

Roger Barth — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References