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    OpenPayerNPI Medicare & MedicaidJoseph Romero
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    Joseph Romero — Billing Profile & Reimbursement Data

    NPI 1235461914 · Clearwater, FL · Pulmonary Disease Physician

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    Joseph Romero is a pulmonary disease physician provider located in Clearwater, Florida. This profile covers 20 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Romero
    Address430 Morton Plant St
    CityClearwater
    StateFL
    ZIP33756
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedFebruary 5, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$149.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…230$170$39.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…290$90$27.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…230$90$20.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…240$60$15.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…110$140$14.2K
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.50$140$6.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$140$5.6K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.50$80$3.7K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$170$2.7K
    31654In this add–on procedure, the provider uses ultrasound guidance in the throat (trachea) and/or the major air passages to the lungs (bronchi) in addition to passing a rigid or flexible scope into the…50$50$2.4K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,76732,760140$90$25K
    992332,1239,970100$90$20.1K
    992324,05713,090120$60$17.5K
    992913814,77050$170$15.7K
    992233,17911,11060$130$12.5K
    992154,3298,55040$130$10.7K
    992053,5894,82030$160$6.6K
    99234153020$80$4.5K
    9472936967090$30$4.5K
    9472628941080$30$4.1K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Joseph Romero, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baycare Medical Group, Inc.FLGeneral Practice Physician$0$14.9M
    Ali SaberiFLInternal Medicine Physician$5.7M$0
    Jaffar HilliMOHematology & Oncology Physician$1.6M$0
    Julio Gonzalez-paoliFLRheumatology Physician$1.4M$0
    Marcos ValerioFLInterventional Cardiology Physician$1M$0
    Georgia ShapiroFLMedical Oncology Physician$980.2K$0
    Nora VeraFLDermatology Physician$849.9K$0
    James ConnorsFLMOHS-Micrographic Surgery Physician$735.7K$0
    Vikas DesaiNYInternal Medicine Physician$608.7K$106.2K
    Muhammad MustafaFLCardiovascular Disease Physician$629.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Joseph Romero, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rai Care Centers Of Florida I, LLCFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$16.1M
    Morton Plant Hospital Association, Inc.FLPsychiatric Hospital Unit$0$15.8M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.5M
    Steven CohenFLOphthalmology Physician$4.4M$0
    Eugenia Rullan BidotFLRheumatology Physician$3.7M$0
    Adam RosenFLRheumatology Physician$3.4M$0
    Cardiovascular Asc LLCFLAmbulatory Surgical Clinic/Center$3.1M$0
    Nuruddin JoomaFLMedical Oncology Physician$2.2M$0
    John MilizianoFLNuclear Radiology Physician$1.9M$0
    Vanessa LucarellaFLCardiovascular Disease Physician$1.1M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Joseph Romero — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida