CARL ROTH, OD
Optometrist · GREAT FALLS, MT
Individual Active NPI 1174596738
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 466 | 1,180 | $116,701 | $103,572 | $68,474 |
| 2023 | 400 | 900 | $96,081 | $83,032 | $54,260 |
| 2022 | 176 | 267 | $37,122 | $28,622 | $18,401 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 478 | $89 | $62 |
| 92133 | Imaging of optic nerve | 129 | $34 | $22 |
| 92014 | Established patient complete exam of visual system | 124 | $124 | $74 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 116 | $126 | $92 |
| 92083 | Exam of visual field with extended testing | 95 | $62 | $42 |
| 92134 | Imaging of retina | 67 | $40 | $25 |
| 92004 | New patient complete exam of visual system | 60 | $146 | $84 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $164 | $97 |
| 92250 | Photography of the retina | 29 | $36 | $25 |
| 92012 | Established patient problem focused exam of visual system | 24 | $87 | $46 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist | 152W00000X | ✓ | MT675 | MT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Optometrist providers in Montana
- NPI 1487924205
- NPI 1366493231
- NPI 1104175314
- NPI 1083015358
- NPI 1457765851
- NPI 1831396548
- NPI 1558719104
- NPI 1720071368
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.