Physician
Rothstein, Robert
Rothstein, Robert was paid $316K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoROTHSTEIN, ROBERT
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
33aNPI1447368543assigned 08/28/2006
33bProvider typeOphthalmology Physician
28Total paid$316K
24GClaims16,241
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#225 of 1,085
Median peer was paid$34K
This provider vs. median9.3×
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 | 1,613 | $39K | |
| 2019 | 2,040 | $44K | |
| 2020 | 1,072 | $22K | |
| 2021 | 2,180 | $40K | |
| 2022 | 3,156 | $59K | |
| 2023 | 3,234 | $57K | |
| 2024incomplete | 2,946 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 3,662 | 3,168 | $90K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 21% | 2,589 | 2,290 | $66K |
| 92083 | 17% | 2,868 | 2,743 | $55K | |
| 92250 | 8.4% | 1,570 | 1,517 | $27K | |
| 92133 | 7.4% | 1,907 | 1,874 | $23K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.3% | 432 | 427 | $17K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.6% | 422 | 418 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 597 | 582 | $11K |
| 92202 | 1.4% | 1,173 | 1,154 | $4K | |
| 92020 | 1.0% | 571 | 548 | $3K | |
| 92226 | <1% | 286 | 225 | $3K | |
| 92225 | <1% | 36 | 28 | $555.82 |
5 more codes
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.