JAMES ROAT, M.D.
Gastroenterology Physician · LINCOLN, NE
Individual Active NPI 1275826901
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 573 | 9,429 | $1,350,397 | $342,980 | $277,659 |
| 2023 | 588 | 5,725 | $1,215,493 | $257,974 | $207,493 |
| 2022 | 579 | 5,787 | $1,197,167 | $263,609 | $211,412 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 7,200 | $22 | $17 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1,260 | $31 | $24 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 190 | $240 | $204 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 87 | $82 | $66 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 52 | $75 | $61 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 48 | $175 | $175 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 46 | $113 | $88 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 45 | $169 | $136 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 43 | $135 | $110 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | $100 | $81 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 30 | $203 | $164 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 27 | $16 | $13 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 30525 | NE |
| Internal Medicine Physician | 207R00000X | 35.123722 | OH | |
| Gastroenterology Physician | 207RG0100X | 35123722 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.