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 Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Adam Rothenberg (NPI 1306108436)

Field	Value
Entity Type	Individual
Organization	Adam Rothenberg
Address	12039 Ne 128th St Ste 400
City	Kirkland
State	WA
ZIP	98034
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 14, 2012

Payer Source	Total Paid
Medicare	$184.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	60	$1,070	$67.7K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	50	$1,090	$51.3K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	10	$990	$13.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	70	$140	$10.2K
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…	140	$70	$9.9K
99204	The 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…	90	$100	$8.7K
0055T	The provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic…	50	$190	$8.7K
0054T	The provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using fluoroscopy. A provider uses this service…	50	$90	$4.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$110	$2.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	70	$40	$2.8K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Adam Rothenberg — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	87	320	30	$1,190	$46.3K
27446	12	20	20	$2,200	$44K
27130	30	230	30	$1,060	$37.1K
99214	4,129	10,860	100	$80	$13.6K
99215	2,640	4,320	40	$120	$8.4K
99213	7,705	9,690	60	$60	$6.5K
99223	2,461	2,570	30	$130	$6.4K
99205	174	1,820	30	$150	$5.4K
99204	610	4,750	30	$110	$5.2K
0055T	4	20	20	$180	$5K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
King County Public Hospital District No. 2	WA	General Acute Care Hospital	$0	$31.5M
Public Hospital District 1 Of Snohomish County	WA	General Acute Care Hospital	$0	$11.2M
Maheer Gandhavadi	WA	Clinical Cardiac Electrophysiology Physician	$220K	$0
Audrey Nath	TX	Neurological Surgery Physician	$210.5K	$0
Vanessa Moeller	WA	Physical Therapist	$190.3K	$0
Lora Plaskon	WA	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$185.7K	$0
Lin Li	WA	Nephrology Physician	$181.5K	$0
William Getchell	WA	Cardiovascular Disease Physician	$171K	$0
Neil Jariwala	IL	Psychiatry Physician	$132.4K	$25.3K
Peter Nora	WA	Neurological Surgery Physician	$157.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhc Fairfax Hospital Inc.	WA	Psychiatry Physician	$0	$9M
Evergreen Emergency Services, Ps	WA	Emergency Medicine Physician	$0	$4.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Puget Sound Gastroenterology, PLLC	WA	Ambulatory Surgical Clinic/Center	$497.1K	$2.4K
Harry Yu	WA	Cardiovascular Disease Physician	$254.6K	$0
Sarah Dick	WA	Dermatology Physician	$250.1K	$0
William Shoup	WA	Family Medicine Physician	$197.4K	$0
Hao Wang	WA	Dermatology Physician	$179.6K	$0
Daniel Nelson	WA	Interventional Pain Medicine Physician	$177.2K	$0

Adam Rothenberg — Billing Profile & Reimbursement Data

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Adam Rothenberg — 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