Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Lombard › NPI 1790787521
Physician

Roth, Andrew

Roth, Andrew was paid $161K by Medicaid between May 2019 and Oct 2024, across 7 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 46% of everything it billed.

33Billing provider infoROTH, ANDREW
LOMBARD, IL 60148
33aNPI1790787521assigned 08/11/2005
28Total paid$161K
24GClaims3,518
24DCodes billed7
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#192 of 911
Median peer was paid$41K
This provider vs. median4.0×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201975$5K
2020138$10K
20212,677$100K
202220$2K
202351$4K
2024incomplete557$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 46% 988 706 $74K
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 37% 722 422 $59K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8.5% 1,175 780 $14K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 6.9% 450 375 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.3% 64 58 $2K
76140 <1% 81 59 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 38 27 $218.12

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.