Physician

Nicholas Roy, D.O.

According to 2025 Medicare claims, Nicholas Roy, D.O. (NPI: 1619288073) practices pulmonary disease in the Vineland, NJ market, with the plurality of this provider's patient population coming from Cumberland, NJ. This provider's primary affiliated billing organization is INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. (NPI: 1922177856; TIN: 205745047) and primary practice location at 08360-9998. Roy is affiliated with the St. Luke's Medicare ACO (ACO ID: A3560) and Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Roy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 362 traditional Medicare patients, billed 1,381 HCPCS/CPT codes, and received $115,456 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 815 prescription claims across 253 beneficiaries totaling $363,092 in drug costs, led by Dupixent Pen (Dupilumab). DME data shows 1,431 claims. Open Payments data shows 86 records totaling $1,390. 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 declined steadily, from $166,854 to $115,456. In contrast, Part D prescription costs have moved sharply higher in recent years, from $6,770 to $363,092. For DME billing, reported payments moved sharply higher in recent years, from $8,529 to $59,207.

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	829	1,815	$166,854
2017	1,271	3,060	$265,371
2018	1,095	3,115	$252,982
2019	1,019	2,805	$232,889
2020	877	2,406	$239,009
2021	876	2,331	$226,731
2022	909	2,255	$216,523
2023	826	2,053	$201,189
2024	362	1,381	$115,456

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	36	79	$6,770
2016	20	35	$3,767
2017	15	29	$1,630
2018	56	150	$30,015
2019	108	425	$131,874
2020	113	599	$188,879
2021	219	1,096	$379,086
2022	381	2,154	$824,321
2023	402	2,581	$1,025,463
2024	253	815	$363,092

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	34	$1,499
2019	N/R	129	$14,372
2020	39	402	$27,313
2021	183	727	$53,594
2022	610	1,779	$124,388
2023	783	2,370	$153,384
2024	560	1,431	$72,349

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	100	$152
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	84	$145
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	200	$114
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	124	311	$70
G2211	Visit 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's	118	184	$14

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Dupixent Pen	Dupilumab	38	1,064	$152,564
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	129	4,770	$98,221
Breo Ellipta	Fluticasone/Vilanterol	61	2,070	$26,672
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	18	960	$14,486
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	11	570	$11,304

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	16	$12,095
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	20	133	$8,393
A7031	Face mask interface, replacement for full face mask, each	N	40	92	$7,808
A7030	Full face mask used with positive airway pressure device, each	N	43	96	$7,666
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	71	156	$5,872

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	86	$1,390	AstraZeneca Pharmaceuticals LP
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

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FAQ

What Medicare data is available for Nicholas Roy, D.O.?

Tedicare shows public-source Medicare data for Nicholas Roy, D.O. (NPI 1619288073), 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 Nicholas Roy, D.O. have ACO affiliation data?

Nicholas Roy, D.O. is shown with ACO affiliation data for St. Luke's Medicare ACO (MSSP, ACO ID A3560) and Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Nicholas Roy, D.O.?

Nicholas Roy, D.O. is linked to INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. (billing NPI 1922177856) in the available physician profile data.

Does Nicholas Roy, D.O. have Open Payments data?

Nicholas Roy, D.O. has 86 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.