Physician

Corey P Rothrock, MD

According to 2025 Medicare claims, Corey Rothrock, MD (NPI: 1699974089) practices orthopedic surgery in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is ORTHOPEDIC INSTITUTE PC (NPI: 1245263326; TIN: 460316404) and primary practice location at 57105-1012. Rothrock is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Avera Prairie View ACO (ACO ID: A4692), Caravan Health ACO 43 LLC (ACO ID: A4974), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Rothrock's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 696 traditional Medicare patients, billed 2,547 HCPCS/CPT codes, and received $298,282 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 832 prescription claims across 430 beneficiaries totaling $4,402 in drug costs, led by Mupirocin (Mupirocin). 2021 DME data shows 13 claims. Open Payments data shows 4 records totaling $6,502. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $4,959 to $4,402. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $6,427 and ending at $2,009.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	559	3,056	$296,677
2016	621	2,526	$302,241
2017	607	2,800	$324,902
2018	647	3,133	$369,720
2019	622	2,854	$329,995
2020	647	3,086	$336,946
2021	729	3,228	$358,696
2022	737	2,946	$348,123
2023	688	2,425	$310,196
2024	696	2,547	$298,282

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	157	355	$4,959
2016	159	311	$6,726
2017	171	297	$4,214
2018	250	491	$5,438
2019	217	397	$6,732
2020	165	356	$2,752
2021	207	401	$2,570
2022	226	466	$2,079
2023	341	596	$4,048
2024	430	832	$4,402

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	32	32	$2,770
2016	44	44	$2,172
2017	42	66	$1,854
2018	44	44	$2,190
2019	52	64	$2,844
2020	49	49	$3,059
2021	13	13	$808
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$66
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	264	313	$58
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	114	$37
73502	X-ray of hip, 2-3 views	237	281	$29
73562	X-ray of knee, 3 views	232	331	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mupirocin	Mupirocin	249	3,405	$1,561
Celecoxib	Celecoxib	29	778	$946
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	36	204	$337
Meloxicam	Meloxicam	121	3,872	$298
Methylprednisolone	Methylprednisolone	36	222	$202

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$6,502	Zimmer Biomet Holdings, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Corey P. Rothrock, MD?

Tedicare shows public-source Medicare data for Corey P. Rothrock, MD (NPI 1699974089), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Corey P. Rothrock, MD have ACO affiliation data?

Corey P. Rothrock, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Avera Prairie View ACO (MSSP, ACO ID A4692), Caravan Health ACO 43 LLC (MSSP, ACO ID A4974), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Corey P. Rothrock, MD?

Corey P. Rothrock, MD is linked to ORTHOPEDIC INSTITUTE PC (billing NPI 1245263326) in the available physician profile data.

Does Corey P. Rothrock, MD have Open Payments data?

Corey P. Rothrock, MD has 4 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.