Physician

Peter Roumanos, D.O.

According to 2025 Medicare claims, Peter Roumanos, D.O. (NPI: 1710396783) practices physical medicine and rehabilitation in the Lexington-Fayette, KY market, with the plurality of this provider's patient population coming from Fayette, KY. This provider's primary affiliated billing organization is ROUMANOS REHABILITATION, PA (NPI: 1003349044; TIN: 813735645) and primary practice location at 40504-1405.

Roumanos' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 710 traditional Medicare patients, billed 5,698 HCPCS/CPT codes, and received $402,294 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 2,008 prescription claims across 320 beneficiaries totaling $89,327 in drug costs, led by Jardiance (Empagliflozin). DME data shows 1,377 claims. 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 moved sharply higher in recent years, from $3,898 to $402,294. Similarly, Part D prescription costs have risen steadily, from $714 to $89,327. For DME billing, reported payments rose steadily, from $2,025 to $74,319.

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	35	56	$3,898
2017	307	1,400	$73,321
2018	627	3,549	$160,275
2019	664	3,682	$169,116
2020	530	3,197	$168,206
2021	511	3,100	$173,583
2022	518	4,001	$251,294
2023	714	5,120	$394,473
2024	710	5,698	$402,294

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	23	32	$714
2017	126	355	$14,179
2018	156	904	$55,151
2019	193	1,159	$66,867
2020	202	1,437	$66,357
2021	238	1,604	$88,103
2022	218	1,412	$62,881
2023	300	1,931	$79,754
2024	320	2,008	$89,327

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	12	12	$450
2018	165	527	$16,587
2019	144	645	$19,054
2020	243	926	$34,676
2021	322	973	$39,331
2022	356	1,374	$81,645
2023	498	1,670	$80,061
2024	380	1,377	$46,915

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	382	428	$87
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	547	2,832	$80
99239	Hospital discharge day management, more than 30 minutes	387	436	$77
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	585	1,903	$53
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	75	87	$34

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	30	900	$17,482
Eliquis	Apixaban	28	800	$15,504
Enoxaparin Sodium	Enoxaparin Sodium	21	404	$2,154
Ultra-Fine Mini Pen Needle	Pen Needle, Diabetic	19	938	$993
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	11	748	$976

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
K0003	Lightweight wheelchair	Y	113	586	$18,288
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	28	151	$14,297
E0163	Commode chair, mobile or stationary, with fixed arms	N	39	39	$2,336
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	11	39	$2,334
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	Y	49	228	$1,984

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Peter Roumanos, D.O.?

Tedicare shows public-source Medicare data for Peter Roumanos, D.O. (NPI 1710396783), 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 Peter Roumanos, D.O. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Peter Roumanos, D.O.?

Peter Roumanos, D.O. is linked to ROUMANOS REHABILITATION, PA (billing NPI 1003349044) in the available physician profile data.

Does Peter Roumanos, D.O. 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.