Physician

Adrian Romero, M.D

According to 2025 Medicare claims, Adrian Romero, M.D (NPI: 1225491319) practices emergency medicine, with the plurality of this provider's patient population coming from Watauga, NC. This provider's primary affiliated billing organization is WAKE FOREST EMERGENCY PROVIDERS (NPI: 1396216735; TIN: 561903275) and primary practice location at 28607-5008. Romero is affiliated with the CHESS Genesis, LLC (ACO ID: D0237), participating under the REACH model.

Romero's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 144 traditional Medicare patients, billed 159 HCPCS/CPT codes, and received $19,854 in Medicare payments. The top billing code was 99285 (Emergency department visit with high level of medical decision making). Part D data shows 47 prescription claims across 33 beneficiaries totaling $666 in drug costs. 2023 DME data shows 22 claims. Open Payments data shows 1 records totaling $14. 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 fallen sharply in recent years, from $43,207 to $19,854. Similarly, Part D prescription costs have fallen sharply in recent years, from $258 to $666. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	312	522	$43,207
2020	757	1,384	$119,712
2021	692	1,241	$106,831
2022	663	1,094	$99,386
2023	331	530	$45,901
2024	144	159	$19,854

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	12	13	$258
2017	34	63	$930
2018	43	62	$1,433
2019	73	184	$6,547
2020	153	258	$7,185
2021	94	140	$4,142
2022	128	176	$3,940
2023	69	100	$784
2024	33	47	$666

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	22	$1,671
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
99285	Emergency department visit with high level of medical decision making	117	117	$136
99284	Emergency department visit with moderate level of medical decision making	22	22	$97

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.	1	$14	CSL Behring
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

Explore More Providers

Emergency medicine providers
Providers within practice ZIP code 28607-5008
Providers whose plurality patient county is Watauga, NC
Providers in North Carolina whose primary affiliated billing organization is WAKE FOREST EMERGENCY PROVIDERS
Providers in North Carolina affiliated with CHESS Genesis, LLC (REACH)

FAQ

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

Tedicare shows public-source Medicare data for Adrian Romero, M.D (NPI 1225491319), 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 Adrian Romero, M.D have ACO affiliation data?

Adrian Romero, M.D is shown with ACO affiliation data for CHESS Genesis, LLC (REACH, ACO ID D0237).

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

Adrian Romero, M.D is linked to WAKE FOREST EMERGENCY PROVIDERS (billing NPI 1396216735) in the available physician profile data.

Does Adrian Romero, M.D have Open Payments data?

Adrian Romero, M.D has 1 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.