Physician

Timothy P Roux, MD

According to 2025 Medicare claims, Timothy Roux, MD (NPI: 1780685644) practices internal medicine in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. This provider's primary affiliated billing organization is BENEFIS HOSPITALS INC (NPI: 1780968974; TIN: 810232122) and primary practice location at 59405-2609.

Roux's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 684 traditional Medicare patients, billed 1,390 HCPCS/CPT codes, and received $214,002 in Medicare payments. The top billing code was 95811 (Sleep study in sleep lab with continuous airway pressure (6 years or older)). Part D data shows 442 prescription claims across 69 beneficiaries totaling $59,532 in drug costs, led by Dextroamphetamine Sulfate Er (Dextroamphetamine Sulfate). DME data shows 5,726 claims. 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 $97,000 to $214,002. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $360,386 to $59,532. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $277,424 and ending at $246,441.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	847	1,698	$97,000
2016	829	1,620	$99,741
2017	1,035	1,889	$110,374
2018	968	1,635	$105,872
2019	755	1,197	$85,094
2020	588	870	$67,411
2021	610	1,052	$180,359
2022	656	1,003	$187,994
2023	711	1,070	$213,157
2024	684	1,390	$214,002

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	236	4,296	$360,386
2016	228	4,383	$334,996
2017	242	4,656	$323,289
2018	216	3,932	$269,132
2019	167	1,902	$102,470
2020	86	742	$49,491
2021	82	527	$31,802
2022	71	456	$24,223
2023	65	372	$22,192
2024	69	442	$59,532

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	1,760	3,779	$276,397
2016	1,622	3,712	$169,707
2017	1,863	4,227	$143,076
2018	2,177	5,024	$193,683
2019	2,340	5,564	$250,471
2020	2,192	5,177	$251,937
2021	2,287	5,212	$241,299
2022	2,364	5,509	$259,381
2023	2,405	6,076	$309,004
2024	2,313	5,726	$246,234

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	173	180	$487
95810	Sleep study in sleep lab (6 years or older)	171	175	$476
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	143	$68
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	256	273	$48
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	310	402	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Dextroamphetamine Sulfate Er	Dextroamphetamine Sulfate	12	360	$2,673
Armodafinil	Armodafinil	18	840	$1,246
Dextroamphetamine-Amphetamine	Dextroamphetamine/Amphetamine	15	690	$985
Modafinil	Modafinil	24	1,408	$758
Eszopiclone	Eszopiclone	11	780	$183

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A7030	Full face mask used with positive airway pressure device, each	N	218	494	$44,383
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	28	163	$38,544
A7031	Face mask interface, replacement for full face mask, each	N	180	570	$30,616
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	339	752	$28,621
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	159	339	$18,936

Open Payments Summary

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

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FAQ

What Medicare data is available for Timothy P. Roux, MD?

Tedicare shows public-source Medicare data for Timothy P. Roux, MD (NPI 1780685644), 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 Timothy P. Roux, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Timothy P. Roux, MD?

Timothy P. Roux, MD is linked to BENEFIS HOSPITALS INC (billing NPI 1780968974) in the available physician profile data.

Does Timothy P. Roux, MD 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.