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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMadalina Toms
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    Madalina Toms — Billing Profile & Reimbursement Data

    NPI 1164695995 · Baltimore, MD · Diagnostic Radiology Physician

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    Madalina Toms is a diagnostic radiology physician provider located in Baltimore, Maryland. This profile covers 47 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
    OrganizationMadalina Toms
    Address301 St. Paul Place
    CityBaltimore
    StateMD
    ZIP21202
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 13, 2008

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

    Payer SourceTotal Paid
    Medicare$243.5K
    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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.430$100$44.7K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.480$50$24.5K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.260$70$19.5K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.180$70$13.6K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.850$20$13.6K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.270$50$13K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…810$10$9.8K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…200$40$8.9K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…110$80$8.5K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.60$120$7.3K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7881588110110$830$173.4K
    7417730430170$120$22.1K
    741837117050$200$14K
    7417643410110$80$11.2K
    7125016420140$70$10.9K
    70450298400240$30$10.4K
    7417810924030$210$8.5K
    712711417040$120$8.1K
    7127514538080$80$7.8K
    71045264420500$10$7.6K

    Showing 1–10 of 47

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Paul Place Specialists, Inc.MDDermatology Physician$0$13.3M
    Michael MorrisMDDiagnostic Radiology Physician$12M$0
    Richard HusligMDHematology & Oncology Physician$4.9M$0
    St Paul Place Specialists, Inc.MDClinical Pathology/Laboratory Medicine Physician$2.7M$948.8K
    Panayotis LedakisMDHematology & Oncology Physician$3M$0
    Jaideep SohiILNuclear Radiology Physician$1.5M$6.9K
    Kelly OrwatSCInternal Medicine Physician$1.3M$0
    Jonathan BreslauMNDiagnostic Radiology Physician$1.3M$0
    Muhammad Saad KhanILHematology & Oncology Physician$1.3M$0
    Stephen RonsonMDSpecialist$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baltimore City SchoolsMDLocal Education Agency (LEA)$0$95.8M
    Mayor And City Council Of BaltimoreMDLand Ambulance$6.3M$38M
    Health Care For The Homeless, IncMDFederally Qualified Health Center (FQHC)$0$26.8M
    Maryland Family Care, Inc.MDFamily Medicine Physician$0$24.6M
    Hope Resource Center, LLCMDCommunity/Behavioral Health Agency$0$18.1M
    Pha Healthcare LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$18M
    Lighthouse Behavioral Health Center, LLCMDSubstance Abuse Rehabilitation Facility$0$11.5M
    Emergency Physicians SppsMDEmergency Medicine Physician$0$9.8M
    Heavens Place-outpatient Detox & Recovery CenterMDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    S K Pesis Dds, Big Smiles Maryland, PCMDDentist$0$6.9M

    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. Maryland Distribution
    Madalina Toms — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland