Rothman, Nathan

Rothman, Nathan was paid $78K by Medicaid between Jun 2018 and Aug 2024, across 8 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 61% of everything it billed.

33Billing provider infoROTHMAN, NATHAN
LAWRENCE, NY 11559

33aNPI1285616136assigned 11/16/2005

33bProvider typePulmonary Disease Physician

28Total paid$78K

24GClaims3,888

24DCodes billed8

24AFirst – last monthJun 2018 – Aug 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#81 of 413

Median peer was paid$8K

This provider vs. median10.0×

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
2018	91	$817.32
2019	367	$6K
2020	838	$20K
2021	888	$17K
2022	754	$14K
2023	458	$11K
2024incomplete	492	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	61%	1,760	667	$48K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	21%	906	505	$17K
99309	Subsequent nursing facility care, per day, low to moderate complexity	10%	501	296	$8K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.0%	442	264	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	83	81	$1K
94060		1.8%	158	155	$1K
99223	Prolong inpt eval add15 m	<1%	26	25	$472.18
1160F		0%	12	12	$0.00

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.