Physician

Shane Rothermel, MD

According to 2025 Medicare claims, Shane Rothermel, MD (NPI: 1083000541) practices orthopedic surgery in the Pueblo, CO market, with the plurality of this provider's patient population coming from Pueblo, CO. This provider's primary affiliated billing organization is POUDRE VALLEY MEDICAL GROUP, LLC (NPI: 1225356868; TIN: 800348943) and primary practice location at 81007-1442. Rothermel is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Rothermel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 327 traditional Medicare patients, billed 1,464 HCPCS/CPT codes, and received $173,082 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 138 prescription claims across 93 beneficiaries totaling $1,568 in drug costs, led by Celecoxib (Celecoxib). Open Payments data shows 12 records totaling $2,207. 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 $16,727 to $173,082. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $225 and ending at $1,568. 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$87K$173K2020 Medicare payment: $16,727 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $52,261 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $98,575 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $141,067 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $173,082 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20208787$16,727
2021245753$52,261
20222301,171$98,575
20233031,429$141,067
20243271,464$173,082

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$1.2K$2.5K2017 Drug cost: $225 (USD; Tot_Drug_Cst)2018 Drug cost: $463 (USD; Tot_Drug_Cst)2019 Drug cost: $147 (USD; Tot_Drug_Cst)2020 Drug cost: $599 (USD; Tot_Drug_Cst)2021 Drug cost: $2,338 (USD; Tot_Drug_Cst)2022 Drug cost: $2,475 (USD; Tot_Drug_Cst)2023 Drug cost: $1,206 (USD; Tot_Drug_Cst)2024 Drug cost: $1,568 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R17$225
20181523$463
20192736$147
20202224$599
20214459$2,338
20224258$2,475
202376109$1,206
202493138$1,568

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 more7878$109
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more8594$66
73502X-ray of hip, 2-3 views119183$32
73562X-ray of knee, 3 views158257$29
77073X-ray for bone length assessment9595$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib551,692$989
AmoxicillinAmoxicillin60109$96

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.12$2,207Smith+Nephew, 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 Shane Rothermel, MD?

Tedicare shows public-source Medicare data for Shane Rothermel, MD (NPI 1083000541), 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 Shane Rothermel, MD have ACO affiliation data?

Shane Rothermel, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Shane Rothermel, MD?

Shane Rothermel, MD is linked to POUDRE VALLEY MEDICAL GROUP, LLC (billing NPI 1225356868) in the available physician profile data.

Does Shane Rothermel, MD have Open Payments data?

Shane Rothermel, MD has 12 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.