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Kevin M Roth, MD

Orthopedic Surgery · Palo Alto

NPI 1679778252

Medicare standing
1 flag on the record
Listed below.
Plans that list them
2
2 carriers
Offices
4

On the public record

  • Owns San Ramon Surgery Center, LP: Accreditation Lapsed

Offices

4 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

2 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Roth’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

2 of 2 plans

Plans whose provider directory lists this clinician
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A121082 · Current

Licensed to practise in California · since 2012 · expires 2027-10-31 · David Geffen School of Medicine at UCLA.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Surgery centers they own

  • San Ramon Surgery Center, LPAmbulatory Surgery Center · San Ramon, CA2.63% owner since 2014 · accredited by AAAHC
    Accreditation Lapsed2 inspections, 2 with deficiencies · last 2015-09-29: Requirements Met
  • Pleasanton Surgery Center, LLCAmbulatory Surgery Center · Pleasanton, CA11.6% owner since 2018 · accredited by IMQ
    Accreditation Renewed3 inspections, 2 with deficiencies · last 2018-07-23: Requirements Met

Original Medicare doctor bills

$88,371

Medicare paid this office $88,371 for 269 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)137$19,998$115
New patient visit (45+ min)114$16,167$142
Aspiration and/or injection of fluid large joint using ultrasound guidance75$10,256$101
Short return visit (20+ min)60$6,291$81
Long return visit (40+ min)18$3,688$160
See all 9 services
Every Original Medicare service billed
Return visit (30+ min)137$19,998$115
New patient visit (45+ min)114$16,167$142
Aspiration and/or injection of fluid large joint using ultrasound guidance75$10,256$101
Short return visit (20+ min)60$6,291$81
Long return visit (40+ min)18$3,688$160
Shaving of part of shoulder bone and repair of ligament using an endoscope13$1,919$148
Removal of extensive shoulder joint tissue using an endoscope13$1,912$147
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg24$225None
Injection, triamcinolone acetonide, not otherwise specified, 10 mg23$76None

Procedures Medicare counted

Procedure volume Medicare published
Lower limb (leg) arthroscopy (minimally invasive joint repair)17More than 90% of doctors who do this
Upper limb (arm) arthroscopy (minimally invasive joint repair)36More than 79% of doctors who do this

Who their Medicare patients are

269 Original Medicare patients in 2024. Average age 72 · Women 54% · Also on Medicaid 9% · Health risk score 0.71. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 49% · Coronary heart disease 19% · Diabetes 17% · Cancer 13% · Depression 13% · Chronic kidney disease 12% · Atrial fibrillation 7% · Heart failure 4% · COPD 4%.

The office billed $404,728, Medicare allowed $116,445 and paid $88,371; for 2,418 services of 38 kinds; $2,626 of it was for drugs given in the office and $85,746 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20242692,418720.71$404,728$88,371
2023270687720.68$386,462$93,131
202222310,261730.97$398,530$110,788
20211996,649741.07$299,563$106,428
202023914,816741.00$444,361$115,892
201941242,553741.05$1,005,076$256,464
20184285,437731.11$770,493$171,826
20174192,768731.08$671,454$142,833
20164982,412711.11$795,202$178,690
20154172,323721.19$687,917$172,646
20143832,342731.20$591,587$154,052
201346212681.11$48,694$14,531

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 8 services

Original Medicare services billed in 2023
New patient visit (45+ min)148$22,280$151
Return visit (30+ min)109$16,299$118
Aspiration and/or injection of fluid large joint using ultrasound guidance58$7,717$99
Short return visit (20+ min)70$7,510$84
Long return visit (40+ min)29$5,919$169
Aspiration and/or injection of fluid from large joint15$1,375$69
New patient visit (30+ min)11$1,171$106
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg32$265None

2022: 12 services

Original Medicare services billed in 2022
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg11$15,103None
Short return visit (20+ min)116$13,008$82
Aspiration and/or injection of fluid large joint using ultrasound guidance64$12,353$107
Treatment of broken neck of thigh bone with bone implant11$12,122$1,102
Return visit (30+ min)67$10,224$118
New patient visit (30+ min)65$6,489$100
Mri scan of leg joint without contrast16$3,068$192
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,615$114
X-ray of knee, 4 or more views37$2,114$47
X-ray of shoulder, minimum of 2 views24$964$36
X-ray of hip, 2-3 views13$546$39
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg53$382None

2021: 10 services

Original Medicare services billed in 2021
Return visit (30+ min)94$16,694$118
Aspiration and/or injection of fluid large joint using ultrasound guidance63$9,904$100
Short return visit (20+ min)78$9,143$83
New patient visit (45+ min)36$4,309$120
New patient visit (30+ min)34$2,903$85
Mri scan of arm joint without contrast15$2,621$164
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes24$2,141$89
X-ray of shoulder, minimum of 2 views43$1,595$31
X-ray of knee, 4 or more views24$1,371$42
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg58$449None

2020: 14 services

Original Medicare services billed in 2020
Return visit (30+ min)157$25,562$93
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg16$25,461None
Aspiration and/or injection of fluid large joint using ultrasound guidance79$13,873$98
Initial hospital care with moderate level of medical decision making at least 75 minutes25$4,609$184
Short return visit (20+ min)64$4,524$57
New patient visit (45+ min)21$3,179$151
Mri scan of arm joint without contrast17$2,458$137
Mri scan of leg joint without contrast16$2,389$149
X-ray of both knees while standing43$1,713$36
X-ray of knee, 1-2 views42$1,678$32
New patient visit (30+ min)20$1,675$84
X-ray of shoulder, minimum of 2 views28$975$30
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg70$896None
X-ray of hip, 2-3 views19$830$40

2019: 14 services

Original Medicare services billed in 2019
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg56$74,251None
Return visit (30+ min)210$34,023$99
Aspiration and/or injection of fluid large joint using ultrasound guidance144$32,903$96
Short return visit (20+ min)240$25,463$67
New patient visit (30+ min)96$9,090$95
Mri scan of arm joint without contrast44$7,831$174
Mri scan of leg joint without contrast40$6,794$170
X-ray of knee, 1-2 views102$3,957$32
X-ray of both knees while standing102$3,746$36
X-ray of shoulder, minimum of 2 views73$3,334$31
Initial hospital care with moderate level of medical decision making at least 75 minutes18$3,279$182
New patient visit (45+ min)16$2,456$154
X-ray of hip, 2-3 views43$2,156$43
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg126$1,211None

2018: 15 services

Original Medicare services billed in 2018
Short return visit (20+ min)245$25,236$63
Return visit (30+ min)186$24,590$98
Aspiration and/or injection of fluid large joint using ultrasound guidance103$15,206$87
New patient visit (30+ min)145$12,459$86
Mri scan of arm joint without contrast41$7,184$171
Mri scan of leg joint without contrast35$6,519$176
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose13$5,217None
X-ray of knee, 1-2 views91$3,511$31
X-ray of both knees while standing89$3,092$34
X-ray of shoulder, minimum of 2 views73$2,883$28
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,880$180
X-ray of hip, 2-3 views55$1,953$36
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg91$816None
X-ray of hip, 1 view25$810$30
X-ray of ankle, minimum of 3 views15$632$27

2017: 20 services

Original Medicare services billed in 2017
Short return visit (20+ min)256$25,768$61
New patient visit (30+ min)148$12,698$86
Repair of shoulder rotator cuff using an endoscope13$11,893$915
Aspiration and/or injection of fluid large joint using ultrasound guidance106$11,522$82
Return visit (30+ min)107$11,279$89
Mri scan of arm joint without contrast35$5,798$161
Mri scan of leg joint without contrast31$5,097$159
X-ray of knee, 1-2 views105$3,867$29
X-ray of both knees while standing100$3,316$32
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose12$2,915None
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,776$174
X-ray of shoulder, minimum of 2 views72$2,648$26
New patient visit (45+ min)20$2,193$110
Shaving of part of shoulder bone and repair of ligament using an endoscope13$1,941$149
Removal of extensive shoulder joint tissue using an endoscope11$1,448$132
X-ray of hip, 2-3 views29$1,157$39
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg100$734None
X-ray of ankle, minimum of 3 views17$604$25
X-ray of hip, 1 view19$482$25
X-ray of foot, minimum of 3 views13$392$24

2016: 18 services

Original Medicare services billed in 2016
Short return visit (20+ min)315$34,431$58
Aspiration and/or injection of fluid large joint using ultrasound guidance118$13,666$76
New patient visit (30+ min)162$13,235$82
Return visit (30+ min)82$9,128$90
Repair of shoulder rotator cuff using an endoscope11$8,909$810
Mri scan of leg joint without contrast33$5,586$164
Initial hospital care with moderate level of medical decision making at least 75 minutes33$5,549$163
X-ray of knee, 1-2 views130$4,677$27
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose12$3,856None
New patient visit (45+ min)30$3,714$124
X-ray of both knees while standing120$3,619$30
Mri scan of arm joint without contrast19$3,121$156
X-ray of shoulder, minimum of 2 views65$2,156$25
X-ray of hip, 1 view66$1,872$26
X-ray of ankle, minimum of 3 views28$1,136$26
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg107$845None
X-ray of wrist, minimum of 3 views12$646$32
X-ray of foot, minimum of 3 views17$527$24

2015: 17 services

Original Medicare services billed in 2015
Short return visit (20+ min)285$32,856$61
Aspiration and/or injection of fluid large joint using ultrasound guidance103$16,539$80
New patient visit (30+ min)126$11,026$88
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose17$9,762None
Return visit (30+ min)67$6,945$86
Initial hospital care with moderate level of medical decision making at least 75 minutes35$6,178$167
X-ray of knee, 1-2 views102$3,437$26
Aspiration and/or injection of fluid from large joint49$3,160$45
Mri scan of leg joint without contrast12$2,898$223
X-ray of both knees while standing99$2,803$28
New patient visit (45+ min)21$2,711$129
Ultrasonic guidance for needle placement40$2,562$52
X-ray of shoulder, minimum of 2 views53$2,006$25
X-ray of hip on one side of body, 1 view42$1,328$25
X-ray of pelvis, 1-2 views47$1,289$25
X-ray of ankle, minimum of 3 views19$1,084$29
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg126$1,062None

2014: 21 services

Original Medicare services billed in 2014
Short return visit (20+ min)206$27,383$64
Treatment of broken neck of thigh bone with bone implant16$17,110$1,069
New patient visit (30+ min)165$15,240$92
Aspiration and/or injection of fluid from large joint117$10,217$49
Ultrasonic guidance for needle placement99$10,106$67
Initial hospital care with moderate level of medical decision making at least 75 minutes42$7,592$173
Return visit (30+ min)46$4,738$95
X-ray of knee, 1-2 views83$3,804$29
New patient visit (45+ min)22$3,091$140
X-ray of both knees while standing77$2,614$34
X-ray of shoulder, minimum of 2 views57$2,601$30
X-ray of wrist, minimum of 3 views23$1,965$36
X-ray of pelvis, 1-2 views52$1,686$27
X-ray of ribs of one side of body, minimum of 2 views26$1,022$38
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg114$969None
X-ray of hip on one side of body, 1 view24$758$24
X-ray of lower and sacral spine, 2-3 views16$548$34
X-ray of foot, minimum of 3 views14$547$30
X-ray of elbow, minimum of 3 views11$455$33
Cast supplies, short arm cast, adult (11 years +), fiberglass12$239$15
X-ray of ribs of one side of body, minimum of 2 views17$167$10

2013: 5 services

Original Medicare services billed in 2013
Short return visit (20+ min)18$1,498$65
New patient visit (30+ min)15$1,423$95
Aspiration and/or injection of fluid from large joint15$849$53
X-ray of knee, 1-2 views11$391$30
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg14$76None

Money from drug and device companies

$25 in 2025

Industry payments by year
202511None$25
202216None$1,693
202117None$1,091
202011None$1,089
201928None$1,255

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
StrykerNa$25
1 payment
  • Meals for Na · 2025-09-27 · $25
See the published payment
Every published payment
StrykerMeals · 2025-09-27Na$25
See earlier years (2022, 2021, 2020, 2019)

2022: $1,693

Payments by company in 2022
Smith+NephewNa$1,693
6 payments
  • Travel for Na · 2022-10-25 · $226
  • Travel for Na · 2022-10-25 · $232
  • Travel for Na · 2022-10-25 · $232
  • Travel for Bioinductive Implant With Arthroscopic Delivery System - Medium · 2022-10-14 · $613
  • Meals for Q-Fix · 2022-10-12 · $28
  • Travel for Acufex · 2022-10-12 · $361

2021: $1,091

Payments by company in 2021
StrykerMako$1,091
7 payments
  • Travel for Mako · 2021-12-31 · $221
  • Travel for Mako · 2021-12-27 · $101
  • Meals for Triathlon · 2021-12-10 · $52
  • Meals for Mako · 2021-12-10 · $32
  • Meals for Mako · 2021-12-10 · $31
  • Meals for Mako · 2021-12-09 · $149
  • Travel for Mako · 2021-11-29 · $505

2020: $1,089

Payments by company in 2020
Evolution SurgicalNone$1,089
1 payment
  • Education · 2020-01-25 · $1,089

2019: $1,255

Payments by company in 2019
StrykerHip Arthroscopy Access & Instrumentation Set$1,226
7 payments
  • Travel for Hip Arthroscopy Access & Instrumentation Set · 2019-08-19 · $146
  • Travel for Cinchlock Ss · 2019-08-16 · $79
  • Travel for Hip Arthroscopy Access & Instrumentation Set · 2019-08-15 · $169
  • Meals for Hip Arthroscopy Access & Instrumentation Set · 2019-08-15 · $136
  • Meals for Hip Arthroscopy Access & Instrumentation Set · 2019-08-13 · $69
  • Travel for Hip Arthroscopy Access & Instrumentation Set · 2019-08-07 · $583
  • Meals for Hip Arthroscopy Access & Instrumentation Set · 2019-07-11 · $45
BioventusExogen$29
1 payment
  • Meals for Exogen · 2019-05-03 · $29

Professional record

NPI
1679778252
Licence
CA A121082California A121082: Current · expires 2027-10-31
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207XX0005X (207XX0005X); Orthopedic surgery (207X00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2007-06-15
NPI last updated
2023-06-06
NPI record certified
2020-12-09

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 3315 Broadway, Oakland, CA, 94611 · 2625 Shadelands Dr, Walnut Creek, CA, 94598