Physician

Kenneth Stuart Orourke, MD

According to 2025 Medicare claims, Kenneth Orourke, MD (NPI: 1972588309) practices rheumatology in the Portland-South Portland, ME market, with the plurality of this provider's patient population coming from Cumberland, ME. This provider's primary affiliated billing organization is RHEUMATOLOGY ASSOCIATES P.A. (NPI: 1003098252; TIN: 010321993) and primary practice location at 04102-2643. Orourke is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), MaineHealth Accountable Care Organization (ACO ID: A1290), and Community Care Partnership of Maine, LLC (ACO ID: A2831), participating under the MSSP model.

Orourke's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 354 traditional Medicare patients, billed 112,223 HCPCS/CPT codes, and received $857,183 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,228 prescription claims across 550 beneficiaries totaling $4,384,683 in drug costs, led by Enbrel Sureclick (Etanercept). 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 risen steadily, from $36,628 to $857,183. Similarly, Part D prescription costs have risen steadily, from $2,188,551 to $4,384,683. 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$451K$901K2015 Medicare payment: $36,628 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $37,654 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $259,027 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $746,339 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $597,292 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $789,861 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $845,789 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $852,649 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $901,016 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $857,183 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015348704$36,628
2016375725$37,654
201753214,226$259,027
201848748,822$746,339
201942239,881$597,292
202039345,980$789,861
202135465,314$845,789
202231874,073$852,649
2023334107,836$901,016
2024354112,223$857,183

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$2.2M$4.4M2015 Drug cost: $2,188,551 (USD; Tot_Drug_Cst)2016 Drug cost: $2,617,941 (USD; Tot_Drug_Cst)2017 Drug cost: $2,355,900 (USD; Tot_Drug_Cst)2018 Drug cost: $2,047,043 (USD; Tot_Drug_Cst)2019 Drug cost: $2,637,167 (USD; Tot_Drug_Cst)2020 Drug cost: $2,829,723 (USD; Tot_Drug_Cst)2021 Drug cost: $2,440,919 (USD; Tot_Drug_Cst)2022 Drug cost: $3,344,484 (USD; Tot_Drug_Cst)2023 Drug cost: $3,943,619 (USD; Tot_Drug_Cst)2024 Drug cost: $4,384,683 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153863,635$2,188,551
20164463,962$2,617,941
20176072,769$2,355,900
20184842,304$2,047,043
20194612,379$2,637,167
20205042,787$2,829,723
20214832,803$2,440,919
20225102,883$3,344,484
20235272,993$3,943,619
20245503,228$4,384,683

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more268525$87
G2211Visit 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's263433$12
80053Blood test, comprehensive group of blood chemicals153408$10
36415Insertion of needle into vein for collection of blood sample225567$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count151407$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept1203,976$1,019,825
Humira(Cf) PenAdalimumab983,148$999,017
RinvoqUpadacitinib271,380$284,768
Cosentyx Sensoready PenSecukinumab23756$272,759
XeljanzTofacitinib Citrate321,380$258,801

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 Kenneth Stuart Orourke, MD?

Tedicare shows public-source Medicare data for Kenneth Stuart Orourke, MD (NPI 1972588309), 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 Kenneth Stuart Orourke, MD have ACO affiliation data?

Kenneth Stuart Orourke, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033), MaineHealth Accountable Care Organization (MSSP, ACO ID A1290), and Community Care Partnership of Maine, LLC (MSSP, ACO ID A2831).

What billing organization is linked to Kenneth Stuart Orourke, MD?

Kenneth Stuart Orourke, MD is linked to RHEUMATOLOGY ASSOCIATES P.A. (billing NPI 1003098252) in the available physician profile data.

Does Kenneth Stuart Orourke, MD 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.