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Joshua Roach

Emergency Medicine·Rockford, IL·NPI: 1326492018SharePrint ReportML Risk: 88%

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $183K is at the below 25th percentile among 11 Emergency Medicine providers.

Total Paid

$183K

$182,826

Total Claims

3,010

Beneficiaries

1,983

1.5 claims/patient

Avg Cost/Claim

$61

🔍 Analysis

Provider Overview

Joshua Roach is a Emergency Medicine provider based in Rockford, IL. From 2020-07 through 2021-08, this provider received $183K in Medicaid payments across 3K claims serving 2K beneficiaries, billing 4 distinct procedure codes.

Key Findings

  • 📊Billing stopped in 2021-08, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2020
$116K
-42%
2021
$67K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 58% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$105K

1,178 claims · 57.6%

Your Cost: $89.37/claim|Median: $85.65
1.0× median
99284Normal range

Emergency dept visit, high complexity

$56K

871 claims · 30.8%

Your Cost: $64.55/claim|Median: $69.51
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$16K

438 claims · 8.6%

Your Cost: $35.83/claim|Median: $42.48
0.8× median
93010Top 10%

Electrocardiogram, interpretation and report only

$6K

523 claims · 3.1%

Your Cost: $10.78/claim|Median: $5.60
1.9× median