ANDREW TOSCANO, M.D.
Pulmonary Disease Physician · SUMMIT, NJ
Individual Active NPI 1063738318
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 764 | 1,859 | $632,991 | $209,364 | $160,994 |
| 2023 | 728 | 1,707 | $662,053 | $220,665 | $172,886 |
| 2022 | 656 | 1,596 | $531,882 | $180,199 | $138,343 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 350 | $125 | $99 |
| 99291 | Critical care, first 30-74 minutes | 300 | $222 | $174 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 249 | $140 | $99 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 143 | $83 | $66 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 99 | $184 | $143 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 81 | $182 | $136 |
| 94010 | Test to measure expiratory airflow and volume | 74 | $9 | $7 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 43 | $98 | $69 |
| 94010 | Test to measure expiratory airflow and volume | 43 | $18 | $14 |
| 94729 | Test to examine how well the lungs exchange gases | 42 | $26 | $20 |
| 94729 | Test to examine how well the lungs exchange gases | 39 | $9 | $7 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 27 | $11 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 25MA09890900 | NJ |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA09890900 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.