Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDarrin Rotman
    Ask Trek AI about this page

    Darrin Rotman — Billing Profile & Reimbursement Data

    NPI 1144215898 · Sebring, FL · Dermatology Physician

    Customize your policy alerts

    Sign up for Darrin Rotman — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Darrin Rotman is a dermatology physician provider located in Sebring, Florida. This profile covers 49 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDarrin Rotman
    Address3109 Medical Way
    CitySebring
    StateFL
    ZIP33870
    TaxonomyDermatology Physician
    NPI EnumeratedSeptember 19, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    49 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A2005Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)4,200$210$894.6K
    Q4210Axolotl graft or axolotl dualgraft, per square centimeter500$650$319.9K
    Q4164Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)290$1,050$307.8K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…420$440$184.8K
    88332Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…3,220$40$138.3K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…5,170$30$134.4K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)260$310$78.9K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.230$300$67.3K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…230$220$51.7K
    77401Deleted effective Jan. 1, 2026.1,500$30$46.6K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4164210530$1,050$555.1K
    Q4210410500$650$484K
    A20051101,050$200$338.3K
    17311105350240$470$152.3K
    8830577980570$40$83.5K
    17312208330120$330$61.8K
    1731311428060$460$45.9K
    8833277060$40$26.5K
    9921424,43432,760140$90$25K
    140414212020$710$24.7K

    Showing 1–10 of 49

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Darrin Rotman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christian BoudreauxTXPhysician Assistant$372.4K$0
    Jennifer WolfFLPhysician Assistant$350.7K$0
    Julie IellimoFLPhysician Assistant$348.1K$0
    Christopher CarnigliaFLMedical Physician Assistant$178.6K$0
    Anh Dinh-kimFLFamily Medicine Physician$153.1K$0
    Kevin SpohrFLDermatology Physician$71.1K$0
    Chris JijonFLPhysician Assistant$39.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Darrin Rotman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Medical Care, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.5M
    F&s Radiology, P.C.FLDiagnostic Radiology Physician$0$7.5M
    Highlands County Board Of County CommissionersFLLand Ambulance$1.7M$1.8M
    Scott GasiorekFLRadiation Oncology Physician$3M$0
    Mahender YelluFLMedical Oncology Physician$2.6M$0
    Amit ShahFLMedical Oncology Physician$2M$0
    Syed AhmedFLMedical Oncology Physician$1.2M$0
    Thomas LackeyFLSurgery Physician$1.1M$61.7K
    Winter Haven-sebring Fl Ophthalmology Asc LLCFLAmbulatory Surgical Clinic/Center$923K$0
    Alexander KennonFLMOHS-Micrographic Surgery Physician$870.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Darrin Rotman — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida