Roth, Carl
Roth, Carl was paid $38K by Medicaid between Jan 2018 and Jun 2022, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoROTH, CARL
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1174596738assigned 02/13/2006
33bProvider typeOptometrist
28Total paid$38K
24GClaims1,232
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#70 of 113
Median peer was paid$95K
This provider vs. median0.4×
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 | 229 | $6K | |
| 2019 | 264 | $6K | |
| 2020 | 201 | $6K | |
| 2021 | 344 | $13K | |
| 2022 | 194 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 35% | 128 | 115 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 184 | 142 | $11K |
| 92015 | Determination of refractive state | 27% | 786 | 663 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.3% | 134 | 127 | $4K |
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.