Physician

Alfred P Rosche, M.D.

According to 2025 Medicare claims, Alfred Rosche, M.D. (NPI: 1962448332) practices pain management in the Janesville-Beloit, WI market, with the plurality of this provider's patient population coming from Rock, WI. This provider's primary affiliated billing organization is BELOIT HEALTH SYSTEM INC (NPI: 1841485984; TIN: 391028081) and primary practice location at 61073-7601.

Rosche's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 350 traditional Medicare patients, billed 1,517 HCPCS/CPT codes, and received $80,453 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 7,779 prescription claims across 621 beneficiaries totaling $360,827 in drug costs, led by Nucynta Er (Tapentadol Hcl). 2023 DME data shows 11 claims. Open Payments data shows 48 records totaling $3,216. 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 $376,202 to $80,453. Concurrently, Part D prescription costs have changed little. 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	425	4,113	$376,202
2016	428	4,208	$418,773
2017	416	3,483	$298,114
2018	387	4,117	$321,010
2019	376	3,434	$312,983
2020	329	3,041	$282,967
2021	312	2,436	$250,325
2022	289	2,132	$226,785
2023	394	1,735	$98,401
2024	350	1,517	$80,453

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	349	4,744	$337,238
2016	352	4,529	$336,121
2017	321	4,388	$319,511
2018	302	3,911	$282,613
2019	290	3,763	$286,854
2020	292	3,964	$269,395
2021	337	4,412	$306,238
2022	359	4,729	$363,671
2023	630	7,164	$403,635
2024	621	7,779	$360,827

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	12	$726
2018	N/R	12	$965
2019	N/R	11	$1,056
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	11	$239
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
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	123	206	$88
62323	Injection of substance into lower spine canal using imaging guidance	143	237	$65
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	302	623	$41
20610	Aspiration and/or injection of fluid from large joint	52	82	$33
77002	Fluoroscopic guidance for needle placement	73	108	$17

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Nucynta Er	Tapentadol Hcl	58	1,694	$77,096
Fentanyl	Fentanyl	613	18,278	$75,125
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	1,951	57,880	$57,225
Oxycontin	Oxycodone Hcl	45	1,274	$25,334
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	617	18,269	$19,239

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.	48	$3,216	Spinal Simplicity, LLC
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 Alfred P. Rosche, M.D.?

Tedicare shows public-source Medicare data for Alfred P. Rosche, M.D. (NPI 1962448332), 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 Alfred P. Rosche, 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 Alfred P. Rosche, M.D.?

Alfred P. Rosche, M.D. is linked to BELOIT HEALTH SYSTEM INC (billing NPI 1841485984) in the available physician profile data.

Does Alfred P. Rosche, M.D. have Open Payments data?

Alfred P. Rosche, M.D. has 48 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.