Physician

Donald C Roa, MD

According to 2025 Medicare claims, Donald Roa, MD (NPI: 1811987563) practices cardiology in the Brownsville-Harlingen, TX market, with the plurality of this provider's patient population coming from Cameron, TX. This provider's primary affiliated billing organization is DONALD C. ROA, MD,PA (NPI: 1316123409; TIN: 261770199) and primary practice location at 78550-7941. Roa is affiliated with the Buena Vida y Salud LLC (ACO ID: A2142), participating under the MSSP model.

Roa's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 415 traditional Medicare patients, billed 2,696 HCPCS/CPT codes, and received $195,365 in Medicare payments. The top billing code was 93978 (Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts). Part D data shows 4,466 prescription claims across 566 beneficiaries totaling $703,689 in drug costs, led by Eliquis (Apixaban). 2018 DME data shows 15 claims. Open Payments data shows 1 records totaling $99. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $299,658 to $703,689. 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.

Year	Patients	Clm Lines	Payment
2015	969	4,545	$256,460
2016	828	4,791	$287,618
2017	869	4,932	$282,576
2018	940	4,317	$236,904
2019	908	4,409	$260,203
2020	876	4,367	$273,418
2021	783	3,892	$246,064
2022	690	3,792	$227,546
2023	657	3,335	$200,064
2024	415	2,696	$195,365

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	410	2,761	$299,658
2016	438	3,274	$426,954
2017	512	3,709	$491,333
2018	568	4,367	$605,961
2019	543	4,245	$590,701
2020	544	4,643	$603,942
2021	569	4,504	$626,376
2022	577	4,661	$670,191
2023	574	4,393	$734,995
2024	566	4,466	$703,689

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	15	$228
2018	N/R	15	$339
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
93978	Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	109	109	$141
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	214	217	$113
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	657	$91
93016	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	87	88	$17
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	316	677	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	201	13,558	$254,734
Entresto	Sacubitril/Valsartan	106	6,432	$140,284
Farxiga	Dapagliflozin Propanediol	70	4,170	$74,837
Xarelto	Rivaroxaban	36	2,610	$45,580
Vascepa	Icosapent Ethyl	37	1,860	$21,025

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$99	BIOTRONIK INC.
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 Donald C. Roa, MD?

Tedicare shows public-source Medicare data for Donald C. Roa, MD (NPI 1811987563), 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 Donald C. Roa, MD have ACO affiliation data?

Donald C. Roa, MD is shown with ACO affiliation data for Buena Vida y Salud LLC (MSSP, ACO ID A2142).

What billing organization is linked to Donald C. Roa, MD?

Donald C. Roa, MD is linked to DONALD C. ROA, MD,PA (billing NPI 1316123409) in the available physician profile data.

Does Donald C. Roa, MD have Open Payments data?

Donald C. Roa, MD has 1 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.