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    OpenPayerNPI Medicare & MedicaidSarah Tofilon
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    Sarah Tofilon — Billing Profile & Reimbursement Data

    NPI 1003079997 · Fort Dodge, IA · Hematology & Oncology Physician

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    Sarah Tofilon is a hematology & oncology physician provider located in Fort Dodge, Iowa. This profile covers 33 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
    OrganizationSarah Tofilon
    Address802 Kenyon Rd
    CityFort Dodge
    StateIA
    ZIP50501
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 9, 2008

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

    Payer SourceTotal Paid
    Medicare$1.1M
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg16,000$40$688K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,110$90$100.1K
    J0897Injection, denosumab, 1 mg4,380$20$78.8K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…550$90$51.9K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg490$90$43.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…550$60$33.1K
    J1439Injection, ferric carboxymaltose, 1 mg21,750$1$21.8K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg150$140$20.1K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…400$20$8.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.160$50$7.1K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271153017,200$40$902.3K
    J0897471901,920$20$74.1K
    J1439111041,250$1$39.7K
    J2506820440$80$38.9K
    96413880210$90$24K
    J92172450140$130$23.4K
    99214404,690100$70$14.4K
    992131744,740100$50$8K
    963671640160$20$6.8K
    992154721,22030$110$6.4K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcfarland Clinic PCIAMulti-Specialty Clinic/Center$0$26.7M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Robert BehrensIAMedical Oncology Physician$5.2M$0
    Matthew McknightIAFoot & Ankle Surgery Podiatrist$4.7M$23.5K
    James SingerIARetina Specialist (Ophthalmology) Physician$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Central IndustriesIACommunity/Behavioral Health Agency$0$29.5M
    Community Health Center Of Fort Dodge Inc.IAFederally Qualified Health Center (FQHC)$0$23.6M
    Community And Family ResourcesIASubstance Abuse Rehabilitation Facility$0$21M
    North Central Iowa Mental Health Center IncIAMental Health Clinic/Center (Including Community Mental Health Center)$0$15.3M
    Community School DistrictIALocal Education Agency (LEA)$0$15.1M
    Trinity Regional Medical CenterIAGeneral Acute Care Hospital$0$12.3M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$6.4M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$6.4M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$5.7M
    Fort Dodge Ywca Women's Halfway HouseIASubstance Abuse Rehabilitation Facility$0$5.7M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Sarah Tofilon — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa