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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Michael Rosner (NPI 1952397671)

Field	Value
Entity Type	Individual
Organization	Michael Rosner
Address	2150 Pennsylvania Ave Nw
City	Washington
State	DC
ZIP	20037
Taxonomy	Neurological Surgery Physician
NPI Enumerated	September 27, 2005

Payer Source	Total Paid
Medicare	$301.9K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the available data: Total Medicare revenue is $301.9K and there is no Medicaid billing on file, so all reported public-payer volume for this NPI flows through Medicare rather than state Medicaid programs. That concentration means analyses of utilization, competitive standing, and contract leverage should focus on Medicare procedure and E/M mixes rather than dual‑payer behavior.

Revenue is highly concentrated in a small set of spine procedures: the precomputed top three Medicare codes (22633, 22614, 22634) account for 45.3% of this provider's total Medicare revenue, with 22633 at $58.3K revenue (19.3%), 22614 at $54.8K (18.1%), and 22634 at $23.9K (7.9%). This degree of concentration signals that a handful of fusion procedures drive nearly half of the reported Medicare dollars.

The code mix strongly indicates a focused spine-surgery practice centered on arthrodesis and interbody work: high-revenue codes include lumbar fusion and add-on fusion codes (22614, 22633, 22634) plus instrumentation/interbody device codes such as 22853 and 22842. Those procedure-level codes (for fusion, cage/mesh insertion, and multilevel instrumentation) align with a service-line built around complex spinal fusion and stabilization rather than primarily conservative or non-operative care.

The provider shows above-typical national volume for several specialized spine procedures while remaining a modest overall Medicare earner. Codes 22614 (95th percentile; notably above typical national volume), 22634 (97th percentile; notably above typical national volume), and 22853 (95th percentile; notably above typical national volume) point to outsized experience on specific lumbar fusion add-ons and interbody device placement, while other high-dollar items such as 22633 are characterized as 87th percentile (typical, unremarkable volume). This pattern suggests a specialized operator with distinct strengths in particular fusion procedures rather than uniform dominance across all spine codes.

Clinical evaluation-and-management activity is present but secondary to operative revenue: 99213 contributes $10.5K (3.5% of Medicare revenue) and 99222 contributes $9.6K (3.2%), with other E/M codes such as 99203, 99215, and 99205 also appearing in the top 25. These E/M line items indicate the provider performs both outpatient clinic visits and hospital initial care encounters, but their aggregate share is small compared with the fusion and instrumentation procedure dollars.

National ranks and percentile labels show a mixed competitive footprint: several procedure codes place the provider in high national percentiles (e.g., 22634 at 97th percentile) indicating a specialized national-level presence for those procedures, while many other codes are described as typical or unremarkable volume. Combined with the modest absolute Medicare revenue ($301.9K), this suggests the provider is a mid-sized specialist whose business is concentrated in a few high-volume spine procedures rather than a high-revenue system-level practice.

The absence of Medicaid billing on file has operational and contracting implications: with no reported Medicaid revenue, the provider lacks a Medicaid footprint to leverage in state networks and is more exposed to changes in Medicare policy and surgical reimbursement trends. For payers and network planners, this means negotiations and utilization management will be driven primarily by Medicare-sourced surgical volume and outcomes data rather than by dual-payer performance metrics.

The provider has a long Medicare enrollment history, listed as NPI enumerated on 2005-09-27 (~21 years ago), which indicates an established practice with extended participation in Medicare. That tenure, combined with concentrated surgical experience on certain lumbar fusion codes, supports interpreting these utilization patterns as steady practice specialties rather than transient billing anomalies.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22633	In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…	40	$1,670	$58.3K
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	150	$360	$54.8K
22634	In this add–on procedure, the provider joins two additional adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The…	50	$440	$23.9K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	100	$240	$23.8K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	30	$700	$20.2K
22600	The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse…	20	$1,180	$17.7K
22843	The provider places spinal instrumentation at the back of the spine across seven to twelve vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	20	$750	$16.4K
63048	At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.	60	$190	$11.1K
63053	At the same session as lumbar posterior interbody arthrodesis (joint fusion) and after the provider performs laminectomy, facetectomy, or foraminotomy on an initial vertebral segment for…	50	$210	$11.1K
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…	140	$80	$10.5K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Michael Rosner — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22633	1	10	20	$1,600	$32.1K
22614	2	10	60	$340	$31.7K
22634	1	10	50	$440	$18.4K
22843	2	10	20	$720	$16.6K
99214	1,044	1,400	90	$100	$15.3K
22842	4	10	20	$640	$14.8K
22600	1	10	10	$1,040	$13.6K
99215	378	660	50	$130	$12.3K
22853	1	10	40	$200	$9.4K
63045	1	10	10	$660	$9.2K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group, LLC	VA	Internal Medicine Physician	$0	$81.2M
Medical Faculty Associates, Inc	DC	Anesthesiology Physician	$0	$75.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sentara Medical Group	VA	Family Medicine Physician	$0	$48.7M
Sentara Reference Lab Solutions, LLC	VA	Clinical Medical Laboratory	$12.9M	$4.7M
Robert Brennan	VA	Infectious Disease Physician	$15.9M	$0
Jeffrey Steinberg	DC	Foot & Ankle Surgery Podiatrist	$13.3M	$0
Rmh Medical Group LLC	VA	General Practice Physician	$0	$9.8M
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Adebowale Prest	MD	Family Medicine Physician	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
District Hospital Partners L P	DC	General Acute Care Hospital	$0	$136.3M
Baymark Health Services Of West Virginia, Inc.	DC	Substance Use Disorder Rehabilitation Clinic/Center	$571.6K	$6.4M
Medical Home Development Group	DC	Family Medicine Physician	$0	$6.7M
The Foundation For Contemporary Mental Health	DC	Public Health or Welfare Agency	$0	$5.4M
Dva Renal Healthcare Inc	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Miriam's Kitchen	DC	Case Management Agency	$0	$3.1M
Faysal Haroun	DC	Hematology & Oncology Physician	$2.4M	$0
Rishi Sood	DC	Vascular & Interventional Radiology Physician	$2.2M	$0
Matthew Forsthoefel	DC	Radiation Oncology Physician	$1.1M	$0
Mustafa Ali	DC	Internal Medicine Physician	$135.4K	$909.4K

Michael Rosner — Billing Profile & Reimbursement Data

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Michael Rosner — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References