Physician

Steve L Rousseau, MD

According to 2025 Medicare claims, Steve Rousseau, MD (NPI: 1306924394) practices hospitalist in the Muncie, IN market, with the plurality of this provider's patient population coming from Delaware, IN. This provider's primary affiliated billing organization is AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI: 1831236272; TIN: 352108729) and primary practice location at 47304-5547. Rousseau is affiliated with the AHN Accountable Care Organization, LLC (ACO ID: A1403) and CHA ACO, LLC (ACO ID: A2207), participating under the MSSP model.

Rousseau's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 339 traditional Medicare patients, billed 2,515 HCPCS/CPT codes, and received $99,480 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 9,325 prescription claims across 705 beneficiaries totaling $1,133,129 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 185 claims. Open Payments data shows 6 records totaling $95. 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 from a higher plateau to a lower plateau, from $224,593 to $99,480. In contrast, Part D prescription costs have risen steadily, from $532,142 to $1,133,129. For DME billing, this smaller-volume category moved up and down with repeated peaks and valleys, starting at $23,934 and ending at $16,710.

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$112K$225K2015 Medicare payment: $224,593 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $221,035 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $174,447 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $154,305 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $140,102 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $91,262 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $107,107 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $105,287 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $104,747 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $99,480 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157118,406$224,593
201677010,274$221,035
20176938,249$174,447
20185896,362$154,305
20195706,033$140,102
20205122,402$91,262
20215442,504$107,107
20224322,504$105,287
20233862,244$104,747
20243392,515$99,480

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$624K$1.2M2015 Drug cost: $532,142 (USD; Tot_Drug_Cst)2016 Drug cost: $665,257 (USD; Tot_Drug_Cst)2017 Drug cost: $662,435 (USD; Tot_Drug_Cst)2018 Drug cost: $735,593 (USD; Tot_Drug_Cst)2019 Drug cost: $727,245 (USD; Tot_Drug_Cst)2020 Drug cost: $836,008 (USD; Tot_Drug_Cst)2021 Drug cost: $966,737 (USD; Tot_Drug_Cst)2022 Drug cost: $1,008,995 (USD; Tot_Drug_Cst)2023 Drug cost: $1,248,639 (USD; Tot_Drug_Cst)2024 Drug cost: $1,133,129 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154296,129$532,142
20165116,830$665,257
20175647,047$662,435
20185806,922$735,593
20196167,086$727,245
20206727,851$836,008
20217368,560$966,737
20226788,360$1,008,995
20236569,200$1,248,639
20247059,325$1,133,129

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$13K$27K2015 Medicare payment: $23,192 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $14,907 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $13,354 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $9,826 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $12,284 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $14,224 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $23,325 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $26,557 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $24,817 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $14,305 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015135589$23,192
2016173550$14,907
2017193663$13,354
2018121482$9,826
2019138452$12,284
2020140414$14,224
2021124466$23,325
2022143474$26,557
2023125438$24,817
202445185$14,305

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more282636$75
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more97134$53
G0008Administration of influenza virus vaccine5454$30
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's266557$11
36415Insertion of needle into vein for collection of blood sample274598$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FarxigaDapagliflozin Propanediol1449,422$172,732
OzempicSemaglutide1164,972$160,658
TrulicityDulaglutide803,416$112,667
JardianceEmpagliflozin785,267$98,246
EliquisApixaban814,622$85,561

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R23$8,220
A7031Face mask interface, replacement for full face mask, eachNN/R19$1,498
A7030Full face mask used with positive airway pressure device, eachNN/R17$1,232
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R14$1,104
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R18$729

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$95GlaxoSmithKline, LLC.
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 Steve L. Rousseau, MD?

Tedicare shows public-source Medicare data for Steve L. Rousseau, MD (NPI 1306924394), 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 Steve L. Rousseau, MD have ACO affiliation data?

Steve L. Rousseau, MD is shown with ACO affiliation data for AHN Accountable Care Organization, LLC (MSSP, ACO ID A1403) and CHA ACO, LLC (MSSP, ACO ID A2207).

What billing organization is linked to Steve L. Rousseau, MD?

Steve L. Rousseau, MD is linked to AMERICAN HEALTH NETWORK OF INDIANA, LLC (billing NPI 1831236272) in the available physician profile data.

Does Steve L. Rousseau, MD have Open Payments data?

Steve L. Rousseau, MD has 6 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.