Physician

Alan D. Roumm, M.D.

According to 2025 Medicare claims, Alan Roumm, M.D. (NPI: 1457375610) practices rheumatology in the Harrisburg-Carlisle, PA market, with the plurality of this provider's patient population coming from Cumberland, PA. This provider's primary affiliated billing organization is PINNACLE HEALTH MEDICAL SERVICES (NPI: 1669088290; TIN: 251709054) and primary practice location at 17011-1703.

Roumm's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 284 traditional Medicare patients, billed 5,029 HCPCS/CPT codes, and received $89,867 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 2,611 prescription claims across 437 beneficiaries totaling $1,258,282 in drug costs, led by Enbrel Sureclick (Etanercept). 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 fallen sharply in recent years, from $419,532 to $89,867. In contrast, Part D prescription costs have moved sharply higher in recent years, from $463,030 to $1,258,282. 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$464K$929K2015 Medicare payment: $419,532 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $514,893 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $599,171 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $767,310 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $928,736 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $908,807 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $264,324 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $83,201 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $98,133 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $89,867 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201537814,589$419,532
201637825,013$514,893
201740127,883$599,171
201840048,348$767,310
201943265,718$928,736
202037665,093$908,807
202136215,672$264,324
20223482,621$83,201
20233583,061$98,133
20242845,029$89,867

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$629K$1.3M2015 Drug cost: $463,030 (USD; Tot_Drug_Cst)2016 Drug cost: $554,985 (USD; Tot_Drug_Cst)2017 Drug cost: $628,608 (USD; Tot_Drug_Cst)2018 Drug cost: $755,793 (USD; Tot_Drug_Cst)2019 Drug cost: $793,758 (USD; Tot_Drug_Cst)2020 Drug cost: $688,120 (USD; Tot_Drug_Cst)2021 Drug cost: $822,220 (USD; Tot_Drug_Cst)2022 Drug cost: $1,069,065 (USD; Tot_Drug_Cst)2023 Drug cost: $1,207,731 (USD; Tot_Drug_Cst)2024 Drug cost: $1,258,282 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153892,503$463,030
20163812,586$554,985
20173942,572$628,608
20184032,698$755,793
20194372,607$793,758
20204542,832$688,120
20214532,770$822,220
20224542,712$1,069,065
20234672,716$1,207,731
20244372,611$1,258,282

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more274448$85
20610Aspiration and/or injection of fluid from large joint2838$52
J0897Injection, denosumab, 1 mg212,160$20
96372Injection of drug or substance under skin or into muscle2137$10
J1010Injection, methylprednisolone acetate, 1 mg372,120$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept581,680$434,987
Humira(Cf) PenAdalimumab381,232$295,576
TremfyaGuselkumab12672$159,052
HumiraAdalimumab13364$87,254
OtezlaApremilast16480$76,878

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

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 Alan D. Roumm, M.D.?

Tedicare shows public-source Medicare data for Alan D. Roumm, M.D. (NPI 1457375610), 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 Alan D. Roumm, 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 Alan D. Roumm, M.D.?

Alan D. Roumm, M.D. is linked to PINNACLE HEALTH MEDICAL SERVICES (billing NPI 1669088290) in the available physician profile data.

Does Alan D. Roumm, 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.