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    OpenPayerNPI Medicare & MedicaidRichard Tosti
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    Richard Tosti — Billing Profile & Reimbursement Data

    NPI 1124339601 · Bryn Mawr, PA · Orthopaedic Hand Surgery Physician

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    Richard Tosti is a orthopaedic hand surgery physician provider located in Bryn Mawr, Pennsylvania. This profile covers 21 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
    OrganizationRichard Tosti
    Address825 Old Lancaster Rd Ste And200
    CityBryn Mawr
    StatePA
    ZIP19010
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedJune 29, 2010

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

    Payer SourceTotal Paid
    Medicare$131.7K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.50$420$20.1K
    99203The provider sees a new 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 provider…220$80$18.2K
    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…190$70$13.8K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$860$12.1K
    99204The provider sees a new 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 provider…90$130$11.2K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.300$30$9.1K
    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…90$100$8.8K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…30$210$6.6K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…10$510$5.6K
    26116The provider excises a subfascial tumor or vascular malformation from the soft tissue of the hand or finger. The resection size is under 1.5 cm.20$310$4.9K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    25609102010$1,900$36.1K
    14040384020$570$27K
    29848226040$420$19.3K
    9921412,65723,230100$80$14.5K
    260557414030$280$10.8K
    2611631020$390$7.8K
    992134,41222,37070$60$7.7K
    992041,16610,29030$110$5K
    25600143020$270$4.9K
    992031087,33030$70$3.5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mitesh PatelNJSports Medicine (Family Medicine) Physician$785K$0
    Andrew StarPAOrthopaedic Surgery Physician$674.8K$0
    Craig RubensteinPASports Medicine (Emergency Medicine) Physician$616.9K$0
    Fabio OrozcoNJOrthopaedic Surgery Physician$608.6K$0
    Gregg KleinNJOrthopaedic Surgery Physician$594.9K$0
    Alvin OngNJOrthopaedic Surgery Physician$570K$0
    Sunny GuptaNJSports Medicine (Family Medicine) Physician$560.7K$0
    Eric LevicoffPAOrthopaedic Surgery Physician$537.7K$0
    David RodricksNJAdult Reconstructive Orthopaedic Surgery Physician$531.5K$0
    David NazarianNJOrthopaedic Surgery Physician$530.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaleidoscope Family Solutions, Inc.PACommunity/Behavioral Health Agency$0$78.3M
    Resources For Human Development, Inc.PACommunity/Behavioral Health Agency$0$30.7M
    Kaleidoscope Family Solutions Aba Inc.PABehavior Analyst$0$9.8M
    Sameer GuptaPAHematology & Oncology Physician$2.9M$0
    Donald MillerPARheumatology Physician$2.2M$0
    John DevlinPAHematology & Oncology Physician$2M$0
    Bmmsa Heart & Vascular Center Of The Main LinePAAmbulatory Surgical Clinic/Center$1.9M$0
    Stephanie FlaggPARheumatology Physician$1.6M$0
    Academic Urology Of PA, LLCPAAmbulatory Surgical Clinic/Center$1.5M$0
    Sean CurranPACardiovascular Disease Physician$1.4M$0

    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. Pennsylvania Distribution
    Richard Tosti — 4 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania