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    OpenPayerNPI Medicare & MedicaidRicardo Romero
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    Ricardo Romero — Billing Profile & Reimbursement Data

    NPI 1366539991 · Baton Rouge, LA · Gastroenterology Physician

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    Ricardo Romero is a gastroenterology physician provider located in Baton Rouge, Louisiana. This profile covers 12 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
    OrganizationRicardo Romero
    Address7777 Hennessy Blvd Ste 612
    CityBaton Rouge
    StateLA
    ZIP70808
    TaxonomyGastroenterology Physician
    NPI EnumeratedOctober 6, 2006

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

    Payer SourceTotal Paid
    Medicare$45.6K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…30$330$9.8K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…50$140$7.4K
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$330$6.3K
    43270An esophagogastroduodenoscopy (EGD) is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope passed through the mouth. During the EGD, the provider passes guidewires…30$160$5.3K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…20$180$3.5K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.10$250$3.2K
    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…20$130$2.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.50$60$2.6K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.20$80$1.6K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…20$80$1.3K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4323914925060$120$12.4K
    4538019522040$170$11.6K
    4539071020$460$10.2K
    4327431020$330$8.1K
    992231,6832,33040$130$7.7K
    4325922030$190$6.6K
    4327621020$340$6.1K
    4324241020$200$4.7K
    4327011020$160$4K
    432356211020$110$3.8K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Our Lady Of The Lake Physician Group LLCLAInternal Medicine Physician$0$134M
    Lourdes Physician Group LLCLAFamily Medicine Physician$0$7.9M
    Our Lady Of The Lake Physician Group LLCLAFamily Medicine Physician$0$4.6M
    Gerald MiletelloLAMedical Oncology Physician$1.3M$0
    Bryan BienvenuLAHematology & Oncology Physician$964.2K$0
    Christopher MccanlessLAHematology & Oncology Physician$405.8K$0
    James MorrisLAUrology Physician$359.3K$430
    Pavani EllipeddiLAMedical Oncology Physician$316.8K$0
    Denzil MoraesLAInterventional Cardiology Physician$268.6K$0
    Thomas LemayMSInterventional Cardiology Physician$248.5K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Ricardo Romero — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana