Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Peter Roumanos (NPI 1710396783)

Field	Value
Entity Type	Individual
Organization	Peter Roumanos
Address	385 White Oak Trce
City	Lexington
State	KY
ZIP	40511
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	August 4, 2014

Payer Source	Total Paid
Medicare	$394.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The 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…	2,290	$90	$203.5K
99232	The 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…	1,860	$60	$109.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	390	$100	$38.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	410	$90	$35.2K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	160	$40	$5.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Peter Roumanos — 5 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	4	1,800	80	$90	$14.1K
99232	18	2,860	100	$60	$11.6K
99239	4	1,010	50	$80	$7.1K
99222	6	2,070	30	$90	$4.5K
G0180	7	250	20	$40	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dwic Of Tampa Bay, Inc.	FL	Urgent Care Clinic/Center	$0	$11M
Amy Schiffman	FL	Allergy & Immunology Physician	$699.3K	$0
Elias Collado	FL	Internal Medicine Physician	$215.8K	$0
Charles Chaboude	FL	Nurse Practitioner	$199.2K	$0
Edward Hartwig	FL	Emergency Medicine Physician	$147.9K	$0
Asfar Mushtaq	FL	Family Medicine Physician	$103.8K	$0
Edward Katz	FL	Addiction Medicine (Anesthesiology) Physician	$97K	$0
Derrick Bailey	CT	Internal Medicine Physician	$93K	$0
Lawrence Lewis	OH	Emergency Medicine Physician	$73.7K	$0
Carine Porfiri	FL	Family Medicine Physician	$55.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Employment Solutions Inc	KY	Developmentally Disabled Services Day Training Agency	$0	$62.6M
Bhg Xxxv, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$268.7K	$14.4M
Impactlex, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$12.9M
New Vista Behavioral Healthcare Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.3M
Lexar Laboratories & Analysis LLC	KY	Clinical Medical Laboratory	$328.7K	$11.6M
Crossroads Counseling Services, Inc.	KY	Mental Health Counselor	$0	$3.3M
Mercy Ambulance Of Evansville Inc	KY	Ambulance	$494.1K	$2.1M
Kelly Huynh	KY	Optometrist	$29.1K	$0
Namrata Donthamsetti	KY	Optometrist	$10.5K	$0
Timothy Ainger	KY	Clinical Neuropsychologist	$9.6K	$0

Peter Roumanos — Billing Profile & Reimbursement Data

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Peter Roumanos — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References