Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

David Rothberg (NPI 1285888354)

Field	Value
Entity Type	Individual
Organization	David Rothberg
Address	590 S Wakara Way
City	Salt Lake City
State	UT
ZIP	84108
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	November 15, 2008

Payer Source	Total Paid
Medicare	$13.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	10	$940	$11.2K
99213	The 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…	20	$50	$1.1K
99214	The 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…	10	$70	$800

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

David Rothberg — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	9	10	10	$730	$13.1K
99214	4,003	4,080	80	$80	$11.6K
99213	3,005	3,680	60	$50	$6.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brandon Lawrence	UT	Orthopaedic Surgery Physician	$219.6K	$0
Micah Smith	IN	Orthopaedic Surgery Physician	$171.3K	$0
NPI 1134447121	—	—	$163.4K	$0
Alpesh Patel	IL	Orthopaedic Surgery Physician	$144.2K	$1.8K
Nicholas Spina	WA	Orthopaedic Surgery of the Spine Physician	$126.3K	$0
Christopher Peters	UT	Adult Reconstructive Orthopaedic Surgery Physician	$120.3K	$0
William Spiker	UT	Orthopaedic Surgery of the Spine Physician	$119.8K	$0
Dale Cassidy	CO	Orthopaedic Surgery Physician	$108.9K	$0
Jonathan Belding	OH	Orthopaedic Surgery of the Spine Physician	$69.4K	$0
Richard Mackey	UT	Orthopaedic Surgery Physician	$42K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah	UT	General Acute Care Hospital	$0	$23.1M
Associated Regional And University Pathologists Inc	UT	Clinical Medical Laboratory	$1.6M	$8.1M
University Of Utah Dental Services	UT	Dental Clinic/Center	$0	$4.6M
University Of Utah	UT	Psychiatric Hospital	$0	$2.1M
Crescendo Bioscience, Inc	UT	Clinical Medical Laboratory	$0	$1.8M
Kolff Dialysis Center University Of Utah	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
University Of Utah Adult Services	UT	Orthopaedic Surgery Physician	$0	$1.1M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$428.2K
Kevin Croft	UT	Dental Anesthesiology	$0	$362.6K
Mazdak Khalighi	UT	Anatomic Pathology Physician	$159.3K	$0

David Rothberg — Billing Profile & Reimbursement Data

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David Rothberg — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References