Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicole Topilow
    Ask Trek AI about this page

    Nicole Topilow — Billing Profile & Reimbursement Data

    NPI 1215468376 · San Diego, CA · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Nicole Topilow — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nicole Topilow is a ophthalmology physician provider located in San Diego, California. This profile covers 8 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicole Topilow
    Address5330 Carroll Canyon Rd Ste 210
    CitySan Diego
    StateCA
    ZIP92121
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 21, 2017

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

    Payer SourceTotal Paid
    Medicare$32.1K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…160$80$12.6K
    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…60$120$6.7K
    68810The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct.30$190$5.3K
    67800In this procedure, the provider removes a chalazion, a small nodule that results from a blockage of an oil gland and ongoing inflammation.30$120$3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…40$50$2.1K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.50$20$1.2K
    92081The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…30$30$760
    11900This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…10$50$520

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921425,69637,970120$90$23.2K
    9921311,15034,66080$70$13.2K
    68810356030$180$9.3K
    992123,3127,97030$40$3.4K
    6780073020$100$2.5K
    9228516540040$20$2.2K
    920817511040$30$1.7K
    1190064165030$40$1.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    Kevin O'reillyCAPodiatrist$513.7K$4.7M
    Glenn StollerNYOphthalmology Physician$4.6M$637.1K
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Huan LeCAPulmonary Disease Physician$335.6K$4.6M
    Nikhil PatelCAVascular & Interventional Radiology Physician$4.3M$0
    Shashi SharmaCAInterventional Cardiology Physician$3.6M$7.3K
    Ketan LaudNYOphthalmology Physician$2.7M$926.3K
    Eric SiglerNYOphthalmology Physician$3M$580.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Precision Toxicology, LLCCAClinical Medical Laboratory$13.8M$213.8M
    Veracyte Labs Sd CorporationCAClinical Medical Laboratory$75M$2.4M
    Sequenom Center For Molecular Medicine LLCCAClinical Medical Laboratory$0$74.1M
    Biotheranostics, Inc.CAClinical Medical Laboratory$38.4M$4M
    H&m Molecular Diagnostics, LLCCAClinical Medical Laboratory$13.3M$11.2M
    Helix, Inc.CAClinical Medical Laboratory$169.2K$22.6M
    Scripps HealthCAClinical Medical Laboratory$8.9M$301.7K
    Biocept, Inc.CAClinical Medical Laboratory$254.7K$5.6M
    Iain MacewanCARadiation Oncology Physician$2.2M$0
    Prometheus Laboratories Inc.CAClinical Medical Laboratory$338.8K$1.6M

    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. California Distribution
    Nicole Topilow — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California