Physician
NPI deactivated
Tony C Roisum MD PA
Tony C Roisum MD PA was paid $1.51M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoTONY C ROISUM MD PA
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1124115944assigned 10/05/2006
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$1.51M
24GClaims33,923
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Idaho
Rank by total paid#1 of 5
Median peer was paid$12K
This provider vs. median124×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,440 | $174K | |
| 2019 | 5,223 | $190K | |
| 2020 | 5,409 | $241K | |
| 2021 | 4,909 | $232K | |
| 2022 | 5,735 | $295K | |
| 2023 | 3,965 | $208K | |
| 2024incomplete | 3,242 | $173K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 54% | 10,894 | 8,938 | $824K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 8,777 | 7,552 | $478K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 415 | 382 | $51K |
| 71046 | Radiologic examination, chest; 2 views | 3.1% | 2,762 | 2,431 | $47K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.2% | 2,715 | 2,160 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 979 | 476 | $12K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,249 | 1,184 | $12K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 365 | 353 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 710 | 686 | $9K |
| 70210 | <1% | 379 | 341 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 207 | 203 | $4K |
| 81003 | <1% | 2,073 | 1,922 | $3K |
14 more codes
| 74019 | <1% | 178 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $3K |
| 81000 | <1% | 844 | $3K | |
| G0008 | Administration of influenza virus vaccine | <1% | 246 | $3K |
| 93000 | <1% | 225 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 438 | $2K |
| 90688 | <1% | 99 | $1K | |
| 90686 | <1% | 140 | $1K | |
| 90674 | <1% | 71 | $856.88 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $664.40 |
| 87807 | <1% | 32 | $296.66 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 49 | $87.42 |
| 3078F | 0% | 13 | $0.00 | |
| 3074F | 0% | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialKELSEY, JACQUELINE (OFFICE MANAGER)