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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSamer Roy
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    Samer Roy — Billing Profile & Reimbursement Data

    NPI 1871501338 · West Monroe, LA · Specialist

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    Samer Roy is a specialist provider located in West Monroe, Louisiana. This profile covers 38 Medicare and 31 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSamer Roy
    Address102,thomas Road
    CityWest Monroe
    StateLA
    ZIP71291
    TaxonomySpecialist
    NPI EnumeratedAugust 3, 2006

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

    Payer SourceTotal Paid
    Medicaid$530.2K
    Medicare$312.8K

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99443N/A1,030$90$93.5K
    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…1,040$90$91.2K
    G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…220$80$16.6K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…340$50$15.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$120$9.1K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$90$7.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…120$60$7.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…100$70$7.1K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…60$100$6.1K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…150$40$5.2K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306322390200$90$22.2K
    992141576,670110$80$16.5K
    99490109390190$40$13.5K
    992321,0792,58090$60$13.3K
    992339102,01070$90$12.3K
    G04394621,06060$120$11.7K
    994573090100$30$8.8K
    992231,2592,33040$130$7.7K
    9388016043040$90$7.3K
    99454429080$30$6.5K

    Showing 1–10 of 38

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10,010$50$500.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,500$10$12K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes940$10$4.7K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…70$40$3.2K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…130$20$2K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes880$1$1.8K
    G0444Annual depression screening, 5 to 15 minutes390$1$1.6K
    99407The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.380$1$1.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$90$1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.80$10$1K

    Showing 1–10 of 31

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Louisiana median

    31 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3542,890980$40$246.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…688700180$60$77K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…194300360$20$57.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…232790430$10$30.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.690910360$10$30.6K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…177230250$10$25.5K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.355370100$40$15.7K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…3660100$10$10.3K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes1660130$1$5.2K
    J0696Injection, ceftriaxone sodium, per 250 mg202330220$1$4.4K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hospitalist Medicine Physicians Of Texas, PLLCTXInternal Medicine Physician$0$16.3M
    James KeaneARProcedural Dermatology Physician$4.9M$0
    Harshivinderjit BainsTXOphthalmology Physician$4.1M$0
    Balagopalan NairARHematology & Oncology Physician$4.1M$0
    Amar PatelTXOphthalmology Physician$3.8M$0
    Thomas BochowTXOphthalmology Physician$3.6M$0
    Vishnu MadireddyILInternal Medicine Physician$389K$3.1M
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Jyothi MallepalliLARheumatology Physician$3.2M$0
    Kirtan KotichaLAHematology & Oncology Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Day Recovery, LLCLASubstance Abuse Rehabilitation Facility$0$59M
    Iasis Glenwood Regional Medical Center LPLAGeneral Acute Care Hospital$0$15.3M
    G B Cooley Hospital Services/pcaLAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$14.9M
    Heber TuftLAPediatric Dentistry$0$7.6M
    Ed Physicians Of West Louisiana, LLCLAEmergency Medicine Physician$0$7.4M
    West Monroe Pediatrics, LLCLAPediatric Dentistry$0$5M
    Ruben GrigorianLAOphthalmology Physician$2.4M$57.1K
    Surgery Center Of West Monroe, LLCLAAmbulatory Surgical Clinic/Center$1.1M$271K
    Allied Labs LLCLAClinical Medical Laboratory$805.8K$74.7K
    Assad MouhaffelLACardiovascular Disease Physician$479.8K$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. Louisiana Distribution
    Samer Roy — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Samer Roy — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana