Physician

Abdelkrim Roumani

According to 2025 Medicare claims, Abdelkrim Roumani (NPI: 1568097285) practices nurse practitioner in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Bronx, NY. This provider's primary affiliated billing organization is MONTEFIORE MEDICAL CENTER (NPI: 1063525152; TIN: 131740114) and primary practice location at 10462-5072. Roumani is affiliated with the Alliance for Integrated Care of New York, LLC (ACO ID: A2452) and SOMOS ACO (ACO ID: A4577), participating under the MSSP model.

Roumani's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 266 traditional Medicare patients, billed 381 HCPCS/CPT codes, and received $18,556 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 610 prescription claims across 451 beneficiaries totaling $10,501 in drug costs, led by Diclofenac Sodium Er (Diclofenac Sodium). 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 did not follow a clear longitudinal pattern. 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$9.4K$19K2021 Medicare payment: $10,768 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $18,778 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $15,334 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $18,556 (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
2021176324$10,768
2022318543$18,778
2023224314$15,334
2024266381$18,556

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$24K$47K2020 Drug cost: $495 (USD; Tot_Drug_Cst)2021 Drug cost: $1,865 (USD; Tot_Drug_Cst)2022 Drug cost: $47,214 (USD; Tot_Drug_Cst)2023 Drug cost: $14,193 (USD; Tot_Drug_Cst)2024 Drug cost: $10,501 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20201737$495
202185141$1,865
20224161,665$47,214
2023460594$14,193
2024451610$10,501

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
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more2525$66
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more180192$61
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more2020$37
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique2121$33
81003Automated urinalysis test1818$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Diclofenac Sodium ErDiclofenac Sodium15450$1,294
Albuterol Sulfate HfaAlbuterol Sulfate401,044$1,229
Fluticasone PropionateFluticasone Propionate702,234$429
Diclofenac SodiumDiclofenac Sodium23571$376
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst41205$324

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 Abdelkrim Roumani?

Tedicare shows public-source Medicare data for Abdelkrim Roumani (NPI 1568097285), 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 Abdelkrim Roumani have ACO affiliation data?

Abdelkrim Roumani is shown with ACO affiliation data for Alliance for Integrated Care of New York, LLC (MSSP, ACO ID A2452) and SOMOS ACO (MSSP, ACO ID A4577).

What billing organization is linked to Abdelkrim Roumani?

Abdelkrim Roumani is linked to MONTEFIORE MEDICAL CENTER (billing NPI 1063525152) in the available physician profile data.

Does Abdelkrim Roumani 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.