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

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

Robert Roth (NPI 1992792519)

Field	Value
Entity Type	Individual
Organization	Robert Roth
Address	2333 Knob Creek Rd
City	Johnson City
State	TN
ZIP	37604
Taxonomy	Psychologist
NPI Enumerated	September 29, 2005

Payer Source	Total Paid
Medicare	$36.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	120	$120	$14.2K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	350	$20	$8.1K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	80	$70	$5.6K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	40	$90	$3.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	30	$70	$2.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	$50	$1.1K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	50	$20	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Robert Roth — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	99	110	140	$50	$16.3K
96133	25	30	140	$70	$12.9K
96132	50	80	60	$90	$9.9K
90791	14	170	30	$110	$5.9K
96139	3	20	110	$20	$3.6K
90847	3	10	40	$60	$3K
96138	38	70	50	$20	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Education Assistance Corporation	TN	Internal Medicine Physician	$0	$31.1M
Medical Education Assistance Corporation	TN	Clinical Medical Laboratory	$114.7K	$2M
Andrea Hetherington	TN	Obstetrics & Gynecology Nurse Practitioner	$337.9K	$0
Raymon Aggarwal	TX	Internal Medicine Physician	$285K	$0
Gerald Falasca	TN	Rheumatology Physician	$233.6K	$0
Bonnie Burnette-vick	TN	Family Medicine Physician	$155.6K	$0
Phillip Riley	TN	Podiatrist	$93.3K	$0
Roland Huffaker	TN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$86.6K	$0
Allen Elster	NC	Pulmonary Disease Physician	$77.3K	$0
Benjamin England	TN	Sports Medicine (Family Medicine) Physician	$60.1K	$0

Robert Roth — Billing Profile & Reimbursement Data

Sign up for Robert Roth — Billing Profile & Reimbursement Data policy alerts

Robert Roth — Billing Profile & Reimbursement Data

Sign up for Robert Roth — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References