ARON ROTHSCHILD
NPI 1679086409, individual, Spring Valley, NY, Social Worker
- Hours beyond a day in 4 months, but with up to 1367 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 77% of Medicaid dollars are on codes with a history of abuse.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 26.6 | 24.9 | 16.6 | 22.4 | 842 | 1 | 90791 90834 90837 90846 90853 | $127K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 54.1 | 51.4 | 34.2 | 50.5 | 1367 | 1 | 90791 90834 90837 90846 90853 | $241K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 53.8 | 50.8 | 33.9 | 47.4 | 1335 | 1 | 90791 90832 90834 90837 90846 90853 | $208K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 33.7 | 32.1 | 21.4 | 28.8 | 1049 | 1 | 90791 90834 90837 90846 90853 | $140K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ARON ROTHSCHILD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 15, 2017, last updated November 15, 2017 |
| Practice location | 295 W ROUTE 59, Spring Valley, NY 10977-5449, 845-533-3227 |
| Mailing address | 87 W CHURCH ST, Spring Valley, NY 10977-4734 |
| Specialties | Social Worker (104100000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90853 | Group psychotherapyhistory of abuse | $1.0M | 75% | $113 | $60 (top 5% from $332) | 77th percentile | |
| 90834 | Psychotherapy, 45 minutes | $230K | 17% | $222 | $101 (top 5% from $318) | 88th percentile | |
| 99051 | Medicaid service code | $52K | 4% | $14 | $6.71 (top 5% from $30) | 72nd percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $28K | 2% | $218 | $191 (top 5% from $442) | too few months to rank | |
| 90846 | Family psychotherapy without patient, 50 minutes | $17K | 1% | $107 | $113 (top 5% from $277) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $14K | 1% | $129 | $105 (top 5% from $228) | too few months to rank | |
| 90832 | Psychotherapy, 30 minutes | $640 | 0% | $43 | $59 (top 5% from $239) | too few months to rank |
In this area
14 providers in Rockland County, NY carry an indicator in the public record, with $78.1M at stake between them. The most common is more hours than a day holds, on 13 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PINE VALLEY CENTER LLC Spring Valley, NY, ranked 2336 | $0 |
|
| 4 | SHIRA ANDRUSIER Suffern, NY, ranked 7279 | $10.8M |
|
| 4 | SETH KURTZ Monsey, NY, ranked 7341 | $40.9M |
|
| 4 | ADAM POLINGER Suffern, NY, ranked 7391 | $8.1M |
|
| 4 | MAURICE ABRAMCZYK Monsey, NY, ranked 7896 | $718K |
|
| 4 | LEORA PERL New Square, NY, ranked 8034 | $196K |
|
| 4 | SHIMON ABRAMS Spring Valley, NY, ranked 8134 | $2.1M |
|
| 4 | MEIR ADLER Spring Valley, NY, ranked 8364 | $6.3M |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.