TED ROTH, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · SOUTH BEND, IN

Individual Active NPI 1174503866

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	216	495	$300,485	$85,483	$62,842
2023	199	813	$400,843	$104,902	$79,782
2022	172	657	$403,808	$100,530	$75,646

HCPCS	Description	Services	Avg allowed	Avg paid
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	$119	$88
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	$155	$99
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	51	$84	$60
52000	Diagnostic exam of bladder and urethra using an endoscope	50	$200	$157
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	$167	$126
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	$201	$135
81002	Urinalysis, manual test	13	$3	$3
51741	Electronic assessment of bladder emptying	11	$7	$5

Specialty	Code	Primary	License	State
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X	✓	01081226A	IN
Obstetrics & Gynecology Physician	207V00000X		01081226A	IN

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.