Medicare Enrolled

Carl Roth

Internal Medicine · Silver Creek, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
113 MAIN ST, Silver Creek, NY 14136
7169344518
Registered in NPPES since 2006
NPI: 1942303029 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Roth from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Roth? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Roth

Carl Roth is an internal medicine specialist in Silver Creek, NY, with 20 years of NPI registration. Based on federal Medicare data, Roth performed 1,145 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Roth received a total of $5,463 from 40 pharmaceutical and/or device companies across 379 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Roth is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 28% volume in NY $5,463 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,145
Medicare services
Top 28% in NY for internal medicine
Not available
Unique patients (not deduplicated)
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
390 $77 $150
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
180 $1 $3
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
131 $127 $300
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
78 $56 $98
Nursing facility visit, low complexity
A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care.
64 $55 $75
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
58 $10 $15
Recombinant quadrivalent influenza vaccine
A flu shot that protects against four strains of influenza virus. It is produced using recombinant DNA technology rather than growing the virus in eggs.
54 $59 $60
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
54 $24 $25
Initial nursing facility care, high complexity
An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes.
42 $125 $160
Smoking cessation counseling, 4-10 minutes
A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation.
35 $14 $20
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
23 $43 $147
Osteopathic manipulative treatment, 1-2 body regions
A hands-on technique used by osteopathic physicians to diagnose, treat, and prevent illness or injury by moving a patient's muscles and joints. This specific code covers treatment involving one or two distinct areas of the body.
19 $21 $55
Annual alcohol misuse screening, 5 to 15 minutes 17 $18 $20
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,463
Total received (2018-2024)
Avg $780/year across 7 years
Top 15% in NY for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
379
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$650
2023
$1,980
2022
$1,120
2021
$26
2020
$118
2019
$15
2018
$1,553

Payments by company (2024)

Sumitomo Pharma America, Inc.
$100
AstraZeneca Pharmaceuticals LP
$70
ABBVIE INC.
$69
Otsuka America Pharmaceutical, Inc.
$42
Bayer Healthcare Pharmaceuticals Inc.
$38
Lilly USA, LLC
$38
Boehringer Ingelheim Pharmaceuticals, Inc.
$34
Teva Pharmaceuticals USA, Inc.
$34
Exact Sciences Corporation
$29
Novo Nordisk Inc
$26
Astellas Pharma US Inc
$24
Mylan Specialty L.P.
$21
Dexcom, Inc.
$20
Merck Sharp & Dohme LLC
$20
PFIZER INC.
$19
Janssen Pharmaceuticals, Inc
$18
GlaxoSmithKline, LLC.
$16
Boston Scientific Corporation
$16
Amgen Inc.
$16
Top 3 companies account for 36.7% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$619
GlaxoSmithKline, LLC.
$608
PFIZER INC.
$433
AstraZeneca Pharmaceuticals LP
$402
Lilly USA, LLC
$376
Boehringer Ingelheim Pharmaceuticals, Inc.
$322
Astellas Pharma US Inc
$274
SANOFI-AVENTIS U.S. LLC
$257
Amgen Inc.
$240
ABBVIE INC.
$202
Janssen Pharmaceuticals, Inc
$197
Merck Sharp & Dohme LLC
$172
AbbVie Inc.
$160
Otsuka America Pharmaceutical, Inc.
$146
Bayer Healthcare Pharmaceuticals Inc.
$137
Sumitomo Pharma America, Inc.
$100
Exact Sciences Corporation
$98
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$73
Novartis Pharmaceuticals Corporation
$71
Bayer HealthCare Pharmaceuticals Inc.
$61
Takeda Pharmaceuticals U.S.A., Inc.
$49
Teva Pharmaceuticals USA, Inc.
$48
BOSTON SCIENTIFIC CORPORATION
$43
Lundbeck LLC
$42
Dexcom, Inc.
$40
Mylan Specialty L.P.
$34
Daiichi Sankyo Inc.
$26
Amarin Pharma Inc.
$24
Merck Sharp & Dohme Corporation
$24
Edwards Lifesciences Corporation
$21
Advanced Oxygen Therapy Inc.
$21
Shield Therapeutics Inc
$20
Paratek Pharmaceuticals, Inc.
$20
Sanofi Pasteur Inc.
$17
Boston Scientific Corporation
$16
Allergan Inc.
$16
E.R. Squibb & Sons, L.L.C.
$15
Purdue Pharma L.P.
$14
Horizon Pharma plc
$12
Synergy Pharmaceuticals Inc
$12
Top 3 companies account for 30.4% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACCRUFER · AJOVY · ANORO · AREXVY · Amitiza · Austedo XR · BASAGLAR · BELSOMRA · BREO · BREZTRI · CHANTIX · COMIRNATY · Cologuard Collection Kit · DIFICID · DUEXIS · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FLUZONE HIGH-DOSE · GEMTESA · GLYXAMBI · INCRUSE · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LINZESS · LOKELMA · LYRICA · Levemir · MOUNJARO · MOVANTIK · MYRBETRIQ · Myrbetriq · NUCALA · NURTEC ODT · NUZYRA · Otezla · Ozempic · PRADAXA · PRALUENT · Prolia · QULIPTA · REXULTI · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMPROIC · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Topical oxygen chamber for extremities · Trintellix · Trulance · UBRELVY · VERQUVO · VESICARE · VIAGRA · VRAYLAR · Vascepa · Veozah · Victoza · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · YUPELRI · ZEPBOUND
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an internal medicine specialist in Silver Creek?
Compare internal medicine physicians in the Silver Creek area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians in nearby ZIP areas
39
County median income
$56,507
Nearest hospital to ZIP centroid (approximate)
BROOKS-TLC HOSPITAL SYSTEM, INC
7.4 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Roth is a clinical cardiology specialist, with above-average Medicare volume (top 28% in NY), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Roth experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Roth performed 390 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Roth receive payments from pharmaceutical companies?
Yes. Roth received a total of $5,463 from 40 companies across 379 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Roth's costs compare to other internal medicine physicians in Silver Creek?
Roth's average Medicare payment per service is $59. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Roth) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →