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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoth Riley
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    Roth Riley — Billing Profile & Reimbursement Data

    NPI 1831241264 · Fair Lawn, NJ · Family Medicine Physician

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    Roth Riley is a family medicine physician provider located in Fair Lawn, New Jersey. This profile covers 16 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
    OrganizationRoth Riley
    Address23-08 Maple Ave
    CityFair Lawn
    StateNJ
    ZIP07410
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 17, 2007

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

    Payer SourceTotal Paid
    Medicare$637.4K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count44,150$10$529.8K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,170$30$29.1K
    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…320$70$23.3K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…1,070$20$19.3K
    97810The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute…260$30$8.4K
    97811The provider pierces the skin using one or more needles and stimulates anatomical points on or in the skin by manipulating the needles by hand. This code represents each additional 15 minutes of…310$30$7.8K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.130$60$7.5K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…110$50$5.5K
    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,…90$50$4.5K
    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…30$80$2.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K103481,010760$10$33.9K
    971101,5174,430780$20$20.9K
    992132,51714,090100$70$13.1K
    978111640250$20$10.6K
    971405243,500420$20$10.3K
    206107981,11080$60$10K
    978101950190$30$9.1K
    9636512332090$60$8.5K
    992033,4465,66040$80$4.8K
    992127813,45040$40$3.6K

    Showing 1–10 of 16

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Broadway Respite And Home Care, LLCNJHome Health Agency$0$158.5M
    Broadway Respite And Home Care, LLCNJChild Intellectual and/or Developmental Disabilities Respite Care$0$56.5M
    Stay Well Services, Inc.NJHome Health Agency$0$42.6M
    Broadway Adult Medical Day Care IncNJAdult Day Care Clinic/Center$0$39.7M
    New Jersey Adult Medical Day Care, Inc.NJAdult Day Care Clinic/Center$0$17.7M
    Nyrie AustinNJFamily Nurse Practitioner$15.9M$8.8K
    Care Plus Nj, IncNJCommunity/Behavioral Health Agency$0$13.5M
    Children's Ambulatory Surgery Center Of New Jersey, LLCNJAmbulatory Surgical Clinic/Center$0$12.4M
    Chemisys Laboratories, LLCNJClinical Medical Laboratory$750.5K$10.5M
    Bergen-passaic Cataract Laser And Surgery Center, LLCNJOphthalmologic Surgery Clinic/Center$3.2M$1.1M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Roth Riley — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey