Physician

Carlos Andres Pelaez Romero, M.D.

According to 2025 Medicare claims, Carlos Romero, M.D. (NPI: 1104353317) practices hospitalist in the Hanford-Corcoran, CA market, with the plurality of this provider's patient population coming from Kings, CA. This provider's primary affiliated billing organization is GALEN INPATIENT PHYSICIANS INC (NPI: 1114285657; TIN: 943342387) and primary practice location at 93230-5786.

Romero's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 269 traditional Medicare patients, billed 912 HCPCS/CPT codes, and received $80,835 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 303 prescription claims across 121 beneficiaries totaling $21,901 in drug costs, led by Albuterol Sulfate Hfa (Albuterol Sulfate). DME data shows 54 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $509 to $21,901. 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$41K$83K2021 Medicare payment: $39,000 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $62,956 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $82,530 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $80,835 (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
2020N/RN/RN/R
2021136452$39,000
2022274736$62,956
2023281886$82,530
2024269912$80,835

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$14K$28K2017 Drug cost: $509 (USD; Tot_Drug_Cst)2018 Drug cost: $5,994 (USD; Tot_Drug_Cst)2019 Drug cost: $4,219 (USD; Tot_Drug_Cst)2020 Drug cost: $1,422 (USD; Tot_Drug_Cst)2021 Drug cost: $4,319 (USD; Tot_Drug_Cst)2022 Drug cost: $11,028 (USD; Tot_Drug_Cst)2023 Drug cost: $28,241 (USD; Tot_Drug_Cst)2024 Drug cost: $21,901 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R13$509
20184196$5,994
201960123$4,219
20202345$1,422
202153118$4,319
202280226$11,028
2023119311$28,241
2024121303$21,901

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.3K$2.7K2021 Medicare payment: $1,116 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,693 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $2,558 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,342 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R24$1,116
2022N/R61$2,693
2023N/R41$2,558
2024N/R54$2,342

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6768$133
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes175469$92
99239Hospital discharge day management, more than 30 minutes154155$90
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes105148$62
99497Advance care planning, first 30 minutes5050$59

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Albuterol Sulfate HfaAlbuterol Sulfate11326$321
CefdinirCefdinir21150$273
Pantoprazole SodiumPantoprazole Sodium22637$118
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1858$58
Amlodipine BesylateAmlodipine Besylate13390$44

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R21$1,445
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressYN/R13$573
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R20$324

Open Payments Summary

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

FAQ

What Medicare data is available for Carlos Andres Pelaez Romero, M.D.?

Tedicare shows public-source Medicare data for Carlos Andres Pelaez Romero, M.D. (NPI 1104353317), 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 Carlos Andres Pelaez 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 Carlos Andres Pelaez Romero, M.D.?

Carlos Andres Pelaez Romero, M.D. is linked to GALEN INPATIENT PHYSICIANS INC (billing NPI 1114285657) in the available physician profile data.

Does Carlos Andres Pelaez Romero, 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.