James W. Roat, M.D., P.C.

James W. Roat, M.D., P.C. was paid $62K by Medicaid between Dec 2020 and Feb 2024, across 4 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 66% of everything it billed.

33Billing provider infoJAMES W. ROAT, M.D., P.C.
SIOUX CITY, IA 51104

33aNPI1538416052assigned 08/14/2012

33bProvider typeGastroenterology Physician

28Total paid$62K

24GClaims565

24DCodes billed4

24AFirst – last monthDec 2020 – Feb 2024

Compared with peers

Next to other Gastroenterology Physician providers in Iowa

Rank by total paid#5 of 12

Median peer was paid$9K

This provider vs. median7.0×

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
2020	14	$0.00
2021	143	$18K
2022	216	$24K
2023	180	$18K
2024incomplete	12	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	66%	242	217	$41K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	23%	166	147	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	143	126	$6K
99152		0%	14	14	$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 officialROAT, JAMES (PRESIDENT)