Physician

Alfredo S Romero, M.D.

According to 2025 Medicare claims, Alfredo Romero, M.D. (NPI: 1003914953) practices pain management in the Jacksonville, FL market, with the plurality of this provider's patient population coming from Baker, FL. This provider's primary affiliated billing organization is PREMIER SPINE & PAIN CENTER PA (NPI: 1679762876; TIN: 261239876) and primary practice location at 32073-4583.

Romero's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 484 traditional Medicare patients, billed 3,287 HCPCS/CPT codes, and received $173,732 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 24,968 prescription claims across 2,112 beneficiaries totaling $909,183 in drug costs, led by Xtampza Er (Oxycodone Myristate). Open Payments data shows 10 records totaling $372. 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 started with an early spike, then settled into a lower baseline, moving from $641,418 to $173,732. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$321K$641K2015 Medicare payment: $641,418 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $528,093 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $354,322 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $259,156 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $251,171 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $94,769 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $243,304 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $210,250 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $199,004 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $173,732 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201590112,196$641,418
20161,1919,672$528,093
20178236,736$354,322
20182402,870$259,156
20192253,676$251,171
20205131,709$94,769
20216034,179$243,304
20225623,731$210,250
20235293,502$199,004
20244843,287$173,732

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$623K$1.2M2015 Drug cost: $1,245,468 (USD; Tot_Drug_Cst)2016 Drug cost: $1,082,445 (USD; Tot_Drug_Cst)2017 Drug cost: $798,971 (USD; Tot_Drug_Cst)2018 Drug cost: $246,573 (USD; Tot_Drug_Cst)2019 Drug cost: $196,422 (USD; Tot_Drug_Cst)2020 Drug cost: $238,402 (USD; Tot_Drug_Cst)2021 Drug cost: $841,917 (USD; Tot_Drug_Cst)2022 Drug cost: $960,607 (USD; Tot_Drug_Cst)2023 Drug cost: $1,041,287 (USD; Tot_Drug_Cst)2024 Drug cost: $909,183 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201589317,579$1,245,468
20161,32515,823$1,082,445
201795412,273$798,971
20183102,742$246,573
20193032,490$196,422
20201,2585,697$238,402
20211,80320,276$841,917
20221,92021,034$960,607
20232,05124,139$1,041,287
20242,11224,968$909,183

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3636$122
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4652,378$62
80305Testing for presence of drug, read by direct observation231341$12
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2531$0
J1010Injection, methylprednisolone acetate, 1 mg42236$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Xtampza ErOxycodone Myristate39510,582$167,544
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen5,723157,450$135,124
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen4,525124,361$131,219
BelbucaBuprenorphine Hcl962,648$63,197
MovantikNaloxegol Oxalate1494,465$60,109

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.10$372SI-BONE, INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Alfredo S. Romero, M.D.?

Tedicare shows public-source Medicare data for Alfredo S. Romero, M.D. (NPI 1003914953), 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 Alfredo S. Romero, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Alfredo S. Romero, M.D.?

Alfredo S. Romero, M.D. is linked to PREMIER SPINE & PAIN CENTER PA (billing NPI 1679762876) in the available physician profile data.

Does Alfredo S. Romero, M.D. have Open Payments data?

Alfredo S. Romero, M.D. has 10 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.