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 & MedicaidNicholas Rose
    Ask Trek AI about this page

    Nicholas Rose — Billing Profile & Reimbursement Data

    NPI 1174550784 · Newport Beach, CA · Orthopaedic Hand Surgery Physician

    Customize your policy alerts

    Sign up for Nicholas Rose — 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.

    Nicholas Rose is a orthopaedic hand surgery physician provider located in Newport Beach, California. This profile covers 28 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
    OrganizationNicholas Rose
    Address360 San Miguel Dr
    CityNewport Beach
    StateCA
    ZIP92660
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedJune 27, 2006

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

    Payer SourceTotal Paid
    Medicare$265.4K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…580$70$43K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.60$420$25.8K
    26145The provider surgically removes the synovial membrane from the finger or palm flexor tendon sheath in a procedure called tenosynovectomy. He commonly performs this procedure in patients with finger…60$410$23.6K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…180$130$23.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…220$100$22.1K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…210$90$18.3K
    20604In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa, typically the fingers or toes, and then uses the syringe attachment to the needle to…200$70$13.7K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.390$30$12K
    25320The provider reconstructs the wrist joint. He repairs the joint capsule and excises synovial membrane. He repairs ligaments and tendons as necessary, to restore the stability of the wrist, due to…10$860$10.3K
    26123The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or…10$730$10.2K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,53437,970120$90$23.2K
    26145113050$320$21.2K
    29848119030$520$18.6K
    26123224020$1,000$18K
    25447396020$730$13.8K
    2605517022030$360$13.8K
    992132,66634,66080$70$13.2K
    2061153888070$90$13.2K
    2532041020$820$12.3K
    992057,5768,36030$170$7.2K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeremy SmithCAOrthopaedic Surgery of the Spine Physician$990.3K$0
    Jeffrey DeckeyCAOrthopaedic Surgery of the Spine Physician$807.3K$0
    Jason LiauwCANeurological Surgery Physician$668.2K$0
    Michael NietoCAPediatric Sports Medicine Physician$649.1K$0
    Steven BarnettCAOrthopaedic Surgery Physician$623K$0
    Jay PatelCAOrthopaedic Surgery Physician$552K$0
    Adam RivadeneyraCASports Medicine (Family Medicine) Physician$510.8K$0
    Travis ScuddayCAOrthopaedic Surgery Physician$484.5K$0
    Samuel ParkCAOrthopaedic Surgery Physician$380.9K$0
    Robert GrumetCASports Medicine (Orthopaedic Surgery) Physician$360K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Coast Bio Lab LLCCAClinical Medical Laboratory$1.4M$2.1M
    Leonid LernerCAOphthalmology Physician$3.4M$0
    Lynn DiminoCADermatology Physician$1.9M$0
    Newport Coast Surgery Center, LPCAAmbulatory Surgical Clinic/Center$1.8M$0
    Bryan DoonanCAFamily Medicine Physician$1M$579.3K
    Gregory HendersonCAMOHS-Micrographic Surgery Physician$1.5M$0
    George SemeniukCAHematology & Oncology Physician$1.5M$0
    The Surgery Center Of Newport Coast, LLCCAAmbulatory Surgical Clinic/Center$1.3M$0
    Adam RotundaCAMOHS-Micrographic Surgery Physician$1.1M$0
    Orthopedic Surgery Center Of Oc LLCCAAmbulatory Surgical Clinic/Center$1.1M$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. California Distribution
    Nicholas Rose — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California