Physician

Abhishek Roka, M.D.

According to 2025 Medicare claims, Abhishek Roka, M.D. (NPI: 1316395403) practices emergency medicine in the Miami-Miami Beach-Kendall, FL market, with the plurality of this provider's patient population coming from Miami-Dade, FL. This provider's primary affiliated billing organization is EMERGENCY MEDICINE SERVICES OF FL, LLC (NPI: 1043917180; TIN: 92-2099454) and primary practice location at 33180-1407. Roka is affiliated with the UT Health San Antonio Regional Physician Network (ACO ID: A4678), participating under the MSSP model.

Roka's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 324 traditional Medicare patients, billed 430 HCPCS/CPT codes, and received $57,790 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 68 prescription claims across 55 beneficiaries totaling $600 in drug costs. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $6,531 to $57,790. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $494 and ending at $600. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$43K$86K2019 Medicare payment: $6,531 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $21,529 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $41,943 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $85,841 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $82,708 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $57,790 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20195363$6,531
2020192224$21,529
2021254336$41,943
2022435643$85,841
2023493616$82,708
2024324430$57,790

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$661$1.3K2017 Drug cost: $494 (USD; Tot_Drug_Cst)2018 Drug cost: $478 (USD; Tot_Drug_Cst)2019 Drug cost: $109 (USD; Tot_Drug_Cst)2020 Drug cost: $411 (USD; Tot_Drug_Cst)2021 Drug cost: $1,323 (USD; Tot_Drug_Cst)2022 Drug cost: $198 (USD; Tot_Drug_Cst)2023 Drug cost: $278 (USD; Tot_Drug_Cst)2024 Drug cost: $600 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20172642$494
20183847$478
20191519$109
20201317$411
20211721$1,323
20221623$198
20232632$278
20245568$600

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes5758$185
99285Emergency department visit with high level of medical decision making217224$155
99284Emergency department visit with moderate level of medical decision making4751$107
76604Ultrasound scan of chest1818$24
93308Ultrasound of heart, follow-up1212$22

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Abhishek Roka, M.D.?

Tedicare shows public-source Medicare data for Abhishek Roka, M.D. (NPI 1316395403), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Abhishek Roka, M.D. have ACO affiliation data?

Abhishek Roka, M.D. is shown with ACO affiliation data for UT Health San Antonio Regional Physician Network (MSSP, ACO ID A4678).

What billing organization is linked to Abhishek Roka, M.D.?

Abhishek Roka, M.D. is linked to EMERGENCY MEDICINE SERVICES OF FL, LLC (billing NPI 1043917180) in the available physician profile data.

Does Abhishek Roka, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.