Roth Ear, Nose & Throat Associates PC
Roth Ear, Nose & Throat Associates PC was paid $179K by Medicaid between Nov 2020 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoROTH EAR, NOSE & THROAT ASSOCIATES PC
PHILADELPHIA, PA 19114
PHILADELPHIA, PA 19114
33aNPI1497958938assigned 06/11/2007
33bProvider typeSpecialist
28Total paid$179K
24GClaims3,752
24DCodes billed9
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#56 of 543
Median peer was paid$16K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 51 | $2K | |
| 2021 | 366 | $15K | |
| 2022 | 312 | $13K | |
| 2023 | 1,445 | $70K | |
| 2024incomplete | 1,578 | $79K |
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 | 29% | 1,102 | 989 | $52K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 22% | 514 | 491 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,164 | 1,067 | $34K |
| 31575 | 10% | 241 | 231 | $18K | |
| 92588 | 8.6% | 245 | 232 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 286 | 278 | $13K |
| 31231 | 2.3% | 77 | 74 | $4K | |
| 92557 | 1.7% | 111 | 108 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | 12 | $1K |
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 officialROTH, MAURICE (PRESIDENT)