Physician
Roche, Michael
Roche, Michael was paid $104K by Medicaid between Oct 2019 and Nov 2024, across 10 billing codes. Its largest line is 0502F, — 45% of everything it billed.
33Billing provider infoROCHE, MICHAEL
OAK PARK, IL 60304
OAK PARK, IL 60304
33aNPI1588058796assigned 03/25/2015
33bProvider typeObstetrics & Gynecology Physician
28Total paid$104K
24GClaims1,955
24DCodes billed10
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#268 of 911
Median peer was paid$41K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2019 | 41 | $2K | |
| 2020 | 622 | $27K | |
| 2021 | 408 | $20K | |
| 2022 | 203 | $11K | |
| 2023 | 434 | $23K | |
| 2024incomplete | 247 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0502F | 45% | 994 | 785 | $46K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 28% | 400 | 374 | $29K |
| 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 | 19% | 248 | 230 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 86 | 67 | $4K |
| 99245 | 2.1% | 12 | 12 | $2K | |
| 99205 | Prolong outpt/office vis | 1.2% | 13 | 13 | $1K |
| 81025 | <1% | 117 | 103 | $433.11 | |
| 90686 | <1% | 19 | 17 | $363.52 | |
| 81003 | <1% | 48 | 46 | $113.74 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 18 | 15 | $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.