Rothkopf, Douglas

Rothkopf, Douglas was paid $46K by Medicaid between Feb 2018 and Dec 2024, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 60% of everything it billed.

33Billing provider infoROTHKOPF, DOUGLAS
WORCESTER, MA 01605

33aNPI1578547600assigned 12/01/2005

33bProvider typePlastic and Reconstructive Surgery Physician

28Total paid$46K

24GClaims916

24DCodes billed2

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Plastic and Reconstructive Surgery Physician providers in Massachusetts

Rank by total paid#2 of 8

Median peer was paid$2K

This provider vs. median20×

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	12	$557.28
2022	13	$761.67
2023	365	$18K
2024incomplete	526	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	60%	477	476	$28K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	439	415	$18K

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.