Rothstein, Michael

Rothstein, Michael was paid $193K by Medicaid between Oct 2020 and Nov 2024, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 72% of everything it billed.

33Billing provider infoROTHSTEIN, MICHAEL
NEW YORK, NY 10035

33aNPI1275502593assigned 03/17/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$193K

24GClaims12,024

24DCodes billed4

24AFirst – last monthOct 2020 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in New York

Rank by total paid#56 of 1,582

Median peer was paid$2K

This provider vs. median84×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	192	$603.34
2021	144	$60.96
2023	6,246	$107K
2024incomplete	5,442	$85K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	72%	7,896	3,279	$140K
99308	Subsequent nursing facility care, per day, straightforward	14%	2,497	1,625	$27K
99305		13%	1,306	1,279	$26K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	325	182	$23.16

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.