Roat, James

Roat, James was paid $9K by Medicaid between Mar 2018 and Nov 2019, across 3 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 74% of everything it billed.

33Billing provider infoROAT, JAMES
SIOUX CITY, IA 51104

33aNPI1457331621assigned 01/22/2006

33bProvider typeGastroenterology Physician

28Total paid$9K

24GClaims150

24DCodes billed3

24AFirst – last monthMar 2018 – Nov 2019

Compared with peers

Next to other Gastroenterology Physician providers in Iowa

Rank by total paid#7 of 12

Median peer was paid$9K

This provider vs. median1.0×

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

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	137	$8K
2019	13	$731.69

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	74%	34	32	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	26%	43	40	$2K
99152		<1%	73	69	$11.41

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.