Physician
Robert Rothstein, MD PC
Robert Rothstein, MD PC was paid $935K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoROBERT ROTHSTEIN, MD PC
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
33aNPI1689869786assigned 09/11/2007
33bProvider typeOphthalmology Physician
28Total paid$935K
24GClaims19,034
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#115 of 1,085
Median peer was paid$34K
This provider vs. median28×
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 | 1,481 | $74K | |
| 2019 | 1,799 | $85K | |
| 2020 | 2,007 | $90K | |
| 2021 | 2,475 | $115K | |
| 2022 | 3,921 | $206K | |
| 2023 | 4,078 | $204K | |
| 2024incomplete | 3,273 | $161K |
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 | 29% | 3,448 | 3,110 | $274K |
| 92083 | 17% | 3,585 | 3,476 | $154K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 15% | 2,571 | 2,320 | $142K |
| 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 | 13% | 1,009 | 1,009 | $123K |
| 92250 | 6.8% | 1,997 | 1,962 | $63K | |
| 92133 | 6.7% | 2,539 | 2,516 | $62K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 839 | 826 | $51K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.6% | 429 | 428 | $33K |
| 92202 | 1.4% | 1,442 | 1,437 | $13K | |
| 92020 | 1.2% | 691 | 684 | $11K | |
| 92226 | <1% | 182 | 136 | $4K | |
| 92225 | <1% | 79 | 52 | $2K |
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 officialROTHSTEIN, ROBERT (MEDICAL DOCTOR)