Physician

Gil Roter, M.D.

According to 2025 Medicare claims, Gil Roter, M.D. (NPI: 1073621231) practices internal medicine in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is HOUSECALLS MEDICINE NY PC (NPI: 1275290025; TIN: 873657297) and primary practice location at 11753-1161. Roter is affiliated with the Complete Care Collaborative of the Midwest (ACO ID: D0334), participating under the REACH model.

Roter's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,054 traditional Medicare patients, billed 24,726 HCPCS/CPT codes, and received $1,547,469 in Medicare payments. The top billing code was 99487 (Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month). Part D data shows 4,421 prescription claims across 263 beneficiaries totaling $425,989 in drug costs, led by Eliquis (Apixaban). DME data shows 550 claims. No Open Payments records. 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 moved sharply higher in recent years, from $239,555 to $1,547,469. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $33,183 and ending at $70,040.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	300	2,112	$239,555
2016	404	2,822	$235,454
2017	687	4,021	$296,459
2018	851	6,467	$436,324
2019	861	5,984	$434,677
2020	761	8,167	$473,282
2021	623	4,540	$358,521
2022	699	7,618	$527,755
2023	298	3,435	$274,608
2024	2,054	24,726	$1,547,469

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	323	4,653	$488,940
2016	356	5,285	$426,288
2017	432	6,060	$666,995
2018	354	6,713	$759,462
2019	335	6,537	$809,015
2020	289	5,455	$778,095
2021	343	5,275	$654,085
2022	307	4,820	$559,959
2023	270	4,783	$601,657
2024	263	4,421	$425,989

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	128	674	$32,452
2016	80	574	$24,079
2017	349	1,378	$61,293
2018	303	1,909	$98,844
2019	194	1,468	$89,053
2020	99	1,067	$75,670
2021	70	782	$57,039
2022	61	709	$68,435
2023	48	797	$88,299
2024	16	550	$90,327

* / # = 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
99487	Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	1,220	3,404	$122
99489	Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	1,208	3,244	$66
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,828	5,901	$56
99457	Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	485	1,895	$44
99439	Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,438	4,718	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	119	5,582	$104,051
Januvia	Sitagliptin Phosphate	47	2,524	$44,349
Xarelto	Rivaroxaban	25	1,110	$20,164
Ozempic	Semaglutide	12	402	$11,818
Santyl	Collagenase Clostridium Hist.	23	685	$9,095

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	Y	N/R	23	$35,738
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	18	$9,087
A4623	Tracheostomy, inner cannula	N	N/R	20	$8,589
A4624	Tracheal suction catheter, any type other than closed system, each	N	N/R	23	$4,966
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	36	$4,836

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Gil Roter, M.D.?

Tedicare shows public-source Medicare data for Gil Roter, M.D. (NPI 1073621231), 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 Gil Roter, M.D. have ACO affiliation data?

Gil Roter, M.D. is shown with ACO affiliation data for Complete Care Collaborative of the Midwest (REACH, ACO ID D0334).

What billing organization is linked to Gil Roter, M.D.?

Gil Roter, M.D. is linked to HOUSECALLS MEDICINE NY PC (billing NPI 1275290025) in the available physician profile data.

Does Gil Roter, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.