Medicare Enrolled
Dr. Peter Romanick, M.D.
Orthopedic Surgery · Fredericksburg, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Romanick from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Romanick
Dr. Peter Romanick is an orthopedic surgery specialist in Fredericksburg, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Romanick performed 6,523 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Romanick received a total of $2,004 from 19 pharmaceutical and/or device companies across 44 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Romanick is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 6% volume in TX
$2,004 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,523
Medicare services
Top 6% in TX for orthopedic surgery
Not available
Unique patients (not deduplicated)
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Extended-release steroid injection (Zilretta) An injection of triamcinolone acetonide using a preservative-free, extended-release microsphere formulation. The dosage is measured in milligrams. |
1,536 | $13 | $31 |
| Injection, methylprednisolone acetate, 40 mg | 833 | $6 | $10 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
817 | $62 | $115 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
690 | $29 | $98 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
522 | $43 | $206 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
364 | $72 | $192 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
290 | $25 | $95 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
222 | $83 | $177 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
204 | $72 | $282 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
189 | $33 | $118 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
120 | $24 | $89 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
108 | $40 | $151 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
88 | $19 | $86 |
| Total knee replacement | 87 | $993 | $5,144 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
60 | $31 | $94 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
53 | $38 | $147 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
40 | $302 | $1,295 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
37 | $22 | $110 |
| Total hip replacement Surgical procedure to replace the thigh bone and hip joint with artificial components. |
36 | $981 | $7,151 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
33 | $23 | $82 |
| Elbow X-ray, 2 views An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures. |
31 | $21 | $83 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
26 | $25 | $89 |
| Total shoulder joint prosthetic repair Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function. |
23 | $1,118 | $4,175 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
23 | $179 | $1,723 |
| X-ray of both hips, 3-4 views An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures. |
21 | $38 | $156 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
16 | $35 | $75 |
| Partial collarbone removal via endoscope This procedure involves the surgical removal of a portion of the collarbone (clavicle) using an endoscope, a small camera inserted through a tiny incision to guide the surgeon. |
14 | $162 | $1,960 |
| Arthroscopic shoulder surgery for bone shaving and ligament repair A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament. |
14 | $133 | $490 |
| X-ray of finger, minimum of 2 views An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures. |
14 | $27 | $78 |
| Endoscopic release of biceps tendon A minimally invasive procedure using an endoscope to release the tendon that connects the biceps muscle to the shoulder. |
12 | $469 | $2,640 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
2.1% high complexity
48.3% medium
49.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$2,004
Total received (2018-2024)
Avg $286/year across 7 years
Bottom 32% in TX for orthopedic surgery
19
Companies
44
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$315
2023
$126
2022
$158
2021
$193
2020
$369
2019
$809
2018
$33
Payments by company (2024)
Zimmer Biomet Holdings, Inc.
$112
ORTHALIGN INC
$69
Pacira Pharmaceuticals Incorporated
$57
Radius Health, Inc.
$29
Merck Sharp & Dohme LLC
$26
VERTEX PHARMACEUTICALS INCORPORATED
$22
Top 3 companies account for 75.5% of 2024 payments
All-time payments by company (2018-2024) ›
DePuy Synthes Sales Inc.
$547
Sanara MedTech Inc.
$294
Zimmer Biomet Holdings, Inc.
$153
Avanos Medical
$142
Medtronic USA, Inc.
$132
Innovation Technologies Inc
$129
Medical Device Business Services, Inc.
$104
Pacira Pharmaceuticals Incorporated
$94
Amgen Inc.
$69
ORTHALIGN INC
$69
Radius Health, Inc.
$52
Pacira Therapeutics, Inc.
$45
Aesculap Implant Systems, LLC
$41
Kowa Pharmaceuticals America, Inc.
$39
Merck Sharp & Dohme LLC
$26
VERTEX PHARMACEUTICALS INCORPORATED
$22
Medacta USA, Inc.
$19
Flexion Therapeutics, Inc.
$14
Davol Inc.
$13
Top 3 companies account for 49.6% of all-time payments
Associated products mentioned in payments ›
AQUAMANTYS · BRIDION · CORAIL · CellerateRx · EVENITY · EXPAREL · Exparel · GMK Revision · Gel One · Gel-One Cross-linked Hyaluronate · IRRISEPT · MONOVISC · ORTHALIGN PLUS · PNB AND ACCESSORIES · Persona · Progel · RECLAIM · SEGLENTIS · Tymlos · VEGA SYSTEM · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Orthopedic surgeons in nearby ZIP areas
7
County median income
$67,799
Nearest hospital to ZIP centroid (approximate)
HILL COUNTRY MEMORIAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Romanick is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Romanick experienced with extended-release steroid injection (zilretta)?
Based on Medicare claims data, Dr. Romanick performed 1,536 extended-release steroid injection (zilretta) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Romanick receive payments from pharmaceutical companies?
Yes. Dr. Romanick received a total of $2,004 from 19 companies across 44 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Romanick's costs compare to other orthopedic surgeons in Fredericksburg?
Dr. Romanick's average Medicare payment per service is $58. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Romanick) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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