Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Roach, Timothy

Roach, Timothy was paid $137K by Medicaid between Aug 2019 and Dec 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 79% of everything it billed.

33Billing provider infoROACH, TIMOTHY
HERSHEY, PA 17033
33aNPI1013328913assigned 05/13/2014
33bProvider typePediatrics Physician
28Total paid$137K
24GClaims883
24DCodes billed4
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#425 of 1,257
Median peer was paid$45K
This provider vs. median3.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2019248$19K
2020112$6K
202181$13K
2022154$25K
2023169$34K
2024incomplete119$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 79% 570 568 $107K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 242 242 $17K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.0% 57 56 $12K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 14 14 $287.81

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.