Dr. Peter Romanick, M.D.
What this data tells you about Dr. Romanick
Dr. Peter Romanick is an orthopedic surgery specialist in Fredericksburg, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Romanick performed 6,523 Medicare services across 3,897 unique beneficiaries.
Between the years covered by Open Payments, Dr. Romanick received a total of $2,004 from 19 pharmaceutical and/or device companies across 44 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗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 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Romanick is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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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