Physician
SL Rouff MD Amc & SS Silberstein MD Amc
SL Rouff MD Amc & SS Silberstein MD Amc was paid $275K by Medicaid between Jan 2018 and Feb 2023, across 23 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 39% of everything it billed.
33Billing provider infoSL ROUFF MD AMC & SS SILBERSTEIN MD AMC
VAN NUYS, CA 91405
VAN NUYS, CA 91405
33aNPI1285625517assigned 11/04/2005
33bProvider typeInternal Medicine Physician
28Total paid$275K
24GClaims12,159
24DCodes billed23
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#362 of 2,679
Median peer was paid$13K
This provider vs. median22×
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 | 1,500 | $28K | |
| 2019 | 3,127 | $53K | |
| 2020 | 2,177 | $47K | |
| 2021 | 1,946 | $50K | |
| 2022 | 2,934 | $83K | |
| 2023 | 475 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 39% | 771 | 768 | $106K |
| 99243 | 31% | 991 | 983 | $86K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.7% | 693 | 150 | $27K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.3% | 2,053 | 2,034 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 885 | 855 | $16K |
| 80053 | Comprehensive metabolic panel | 2.5% | 1,605 | 1,593 | $7K |
| 99223 | Prolong inpt eval add15 m | 2.1% | 80 | 79 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.6% | 1,166 | 1,159 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,744 | 2,725 | $2K |
| 99401 | <1% | 64 | 63 | $655.35 | |
| 80061 | Lipid panel | <1% | 92 | 92 | $482.04 |
| 99205 | Prolong outpt/office vis | <1% | 53 | 53 | $454.42 |
11 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 298 | $368.70 |
| 95251 | <1% | 70 | $311.79 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 228 | $168.00 |
| 84439 | <1% | 120 | $72.16 | |
| 90674 | <1% | 13 | $0.32 | |
| 83718 | 0% | 30 | $0.00 | |
| 82465 | 0% | 17 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 125 | $0.00 |
| 85651 | 0% | 37 | $0.00 | |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | 0% | 12 | $0.00 |
| 84478 | 0% | 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.
From NPPES
Who's on the registration
Authorized officialSILBERSTEIN, SYLVAIN (PARTNER/PHYSICIAN)