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

    NPI 1861498628 · Brick, NJ · Internal Medicine Physician

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    Michael Rothberg is a internal medicine physician provider located in Brick, New Jersey. This profile covers 47 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 Rothberg
    Address2125 Rt 88 East
    CityBrick
    StateNJ
    ZIP08724
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 24, 2005

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

    Payer SourceTotal Paid
    Medicare$480.3K
    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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,540$100$146.3K
    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…1,560$70$106.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit160$140$21.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…320$70$21.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…110$180$19.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…190$110$19.8K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…540$40$19K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…180$100$16.9K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…400$40$16.8K
    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…200$80$15.9K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993088981,430230$60$29.5K
    9921411813,640130$90$23.6K
    992321,6556,220120$70$18.4K
    992914641,97050$180$16.1K
    992137214,090100$70$13.1K
    G04396733,37070$120$11.5K
    9930573275060$100$10.6K
    992393131,71070$100$9.5K
    9934833051070$60$8.7K
    906773331,78020$280$8.5K

    Showing 1–10 of 47

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frederick RothbergNJFoot & Ankle Surgery Podiatrist$294.8K$0
    Jay VidaNJInternal Medicine Physician$294.7K$0
    Anna DedonaNJInternal Medicine Physician$233.1K$0
    Brian FlynnNJNeurology Physician$147.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    White Glove Community Care, Inc.NJHome Health Agency$0$540.7M
    Ocean Partnership For Children, Inc.NJCase Manager/Care Coordinator$0$66.5M
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$50M
    Summit Home Health Care, IncNJHome Health Agency$0$14.6M
    Brick Board Of EducationNJLocal Education Agency (LEA)$0$12.2M
    White Glove Community Care, Inc.NJHome Health Agency$0$9.4M
    Monmouth Healthcare ServicesNJMethadone Clinic$111K$4.9M
    Seashore Surgical Institute, LLCNJAmbulatory Surgical Clinic/Center$3.6M$6.4K
    Mutahir AbidiNJRheumatology Physician$1.6M$0
    Aditya MehraNJCardiovascular Disease Physician$1.2M$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 Jersey Distribution
    Michael Rothberg — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey