Physician
Roth, John
Roth, John was paid $1.11M by Medicaid between Nov 2020 and Dec 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoROTH, JOHN
BROAD TOP, PA 16621
BROAD TOP, PA 16621
33aNPI1699772673assigned 07/05/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.11M
24GClaims7,139
24DCodes billed10
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#56 of 2,756
Median peer was paid$19K
This provider vs. median58×
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 | 48 | $5K | |
| 2021 | 517 | $56K | |
| 2022 | 1,090 | $181K | |
| 2023 | 2,510 | $414K | |
| 2024incomplete | 2,974 | $450K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 5,268 | 5,027 | $1.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 382 | 367 | $100.00 |
| 3074F | 0% | 657 | 641 | $0.00 | |
| 3075F | 0% | 52 | 52 | $0.00 | |
| 3079F | 0% | 261 | 253 | $0.00 | |
| 3080F | 0% | 41 | 40 | $0.00 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 16 | 16 | $0.00 |
| 3078F | 0% | 382 | 370 | $0.00 | |
| 3077F | 0% | 68 | 67 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | 12 | $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.