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    OpenPayerNPI Medicare & MedicaidMichael Rothschild
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    Michael Rothschild — Billing Profile & Reimbursement Data

    NPI 1801281225 · Slingerlands, NY · Ophthalmic Plastic and Reconstructive Surgery Physician

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    Michael Rothschild is a ophthalmic plastic and reconstructive surgery physician provider located in Slingerlands, New York. This profile covers 11 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Rothschild
    Address15 Vista Blvd
    CitySlingerlands
    StateNY
    ZIP12159
    TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
    NPI EnumeratedApril 2, 2015

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

    Payer SourceTotal Paid
    Medicare$106.1K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.220$110$23K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…40$560$22.2K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…180$60$11.3K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.50$210$10K
    67903The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove an obstruction to a patient’s vision. He accesses the…20$390$9.4K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$420$7.6K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.10$620$7.4K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…20$280$6.4K
    67924During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…10$290$4K
    68840This procedure is the probing of the lacrimal canaliculi with or without irrigation.30$110$3.6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1582314030$560$24.1K
    1526066020$830$23.2K
    14060612020$600$21.6K
    92012101,640100$70$17.4K
    6791712020$450$15.4K
    6790311020$530$13.3K
    6784015030$220$10.2K
    6792411020$450$9.5K
    9200411,75050$110$9.2K
    6884014030$160$6.8K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan HuzNYRetina Specialist (Ophthalmology) Physician$1.9M$40.1K
    Scott GreenbergRIRetina Specialist (Ophthalmology) Physician$1.8M$1.6K
    Gaurav GuptaRIOphthalmology Physician$1.8M$5.8K
    Naomi FalkNYRetina Specialist (Ophthalmology) Physician$1.6M$9.5K
    Pawan BhatnagarNYRetina Specialist (Ophthalmology) Physician$1.5M$16.4K
    Manish MehtaNYVascular Surgery Physician$1.4M$320
    George LinPAAnatomic Pathology & Clinical Pathology Physician$1.2M$0
    Pranjal ThakuriaRIOphthalmology Physician$889.5K$81.4K
    Richard BryanNYRheumatology Physician$579K$22.3K
    Ophthalmology IncRIOphthalmology Physician$0$478.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chad BouchardNYRetina Specialist (Ophthalmology) Physician$3.1M$0
    Sabah ShahNYOphthalmology Physician$1.3M$35.5K
    Robert SchultzeNYOphthalmology Physician$253.2K$0
    George SoryalNYNephrology Physician$238.3K$0
    Matthew HabibNYRetina Specialist (Ophthalmology) Physician$233.3K$160
    Robert EdenNYSpecialist$221.6K$0
    Edward WladisNYOphthalmic Plastic and Reconstructive Surgery Physician$187.3K$0
    David FoytNYOtolaryngology Physician$55.8K$150
    Andrew LabargeNYClinical Neuropsychologist$7.5K$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. New York Distribution
    Michael Rothschild — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York