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NPI 1790787521 · Lombard, IL · Obstetrics & Gynecology Physician
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Andrew Roth is a obstetrics & gynecology physician provider located in Lombard, Illinois. This profile covers 21 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Andrew Roth |
| Address | 500 E 22nd St Ste A |
| City | Lombard |
| State | IL |
| ZIP | 60148 |
| Taxonomy | Obstetrics & Gynecology Physician |
| NPI Enumerated | August 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $161.3K |
| Medicare | $116.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 530 | $90 | $49.6K |
| J0897 | Injection, denosumab, 1 mg | 900 | $20 | $16.2K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 90 | $130 | $11.9K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 50 | $120 | $6K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 100 | $50 | $4.5K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 100 | $40 | $4.1K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 50 | $80 | $3.9K |
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 70 | $60 | $3.7K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 20 | $140 | $2.3K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 250 | $10 | $2K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0897 | 392 | 410 | 2,520 | $20 | $90.8K |
| 77067 | 418 | 510 | 320 | $50 | $25.3K |
| 91322 | 783 | 850 | 110 | $140 | $20.6K |
| 91320 | 873 | 940 | 90 | $130 | $17.2K |
| 99214 | 1,627 | 18,540 | 110 | $80 | $17.1K |
| 77063 | 423 | 490 | 320 | $30 | $15.7K |
| 99213 | 14,715 | 17,390 | 70 | $60 | $8.8K |
| 90694 | 968 | 1,830 | 60 | $70 | $6.5K |
| 90480 | 1,292 | 1,570 | 130 | $40 | $5.9K |
| 76641 | 39 | 150 | 30 | $60 | $3.1K |
Showing 1–10 of 21
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 990 | $70 | $73.1K |
| 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… | 720 | $80 | $59.2K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 1,180 | $10 | $14.1K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,… | 450 | $30 | $11.3K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 60 | $30 | $2.1K |
| 76140 | The provider reviews an X–ray image that was performed at another site and provides a written consultation report. | 80 | $20 | $1.6K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 40 | $10 | $230 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 142 | 350 | 400 | $70 | $514.7K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,… | 118 | 210 | 680 | $20 | $206.4K |
| 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… | 4,632 | 14,680 | 300 | $50 | $48.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 675 | 830 | 700 | $1 | $47.5K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 563 | 910 | 110 | $30 | $14.4K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 161 | 1,290 | 110 | $10 | $8.1K |
| 76140 | The provider reviews an X–ray image that was performed at another site and provides a written consultation report. | 2 | 10 | 80 | $20 | $4.7K |
Other providers in the same ZIP code as Andrew Roth, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Intelliride, LLC | IL | Transportation Broker | $0 | $297.1M |
| United Seating And Mobility LLC | IL | Durable Medical Equipment & Medical Supplies | $0 | $28.7M |
| Health Resources Solutions Inc | IL | Home Health Agency | $0 | $21.8M |
| Us Spa Corp | IL | Clinical Medical Laboratory | $20.4M | $384.3K |
| U & F Sons, Inc. | IL | Homemaker | $0 | $15.6M |
| Us Medical Labs Inc | IL | Clinical Medical Laboratory | $603.4K | $12.5M |
| Mmm Diagnostic Center Inc | IL | Clinical Medical Laboratory | $939.6K | $10.9M |
| United Eg LLC | IL | Clinical Medical Laboratory | $227.3K | $11.1M |
| Kevin Mccune | IL | Family Medicine Physician | $0 | $9.6M |
| Village Of Lombard | IL | Land Ambulance | $552.9K | $6.7M |
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