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    OpenPayerNPI Medicare & MedicaidKevin Tomera
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    Kevin Tomera — Billing Profile & Reimbursement Data

    NPI 1255385258 · Beloit, WI · Urology Physician

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    Kevin Tomera is a urology physician provider located in Beloit, Wisconsin. This profile covers 19 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
    OrganizationKevin Tomera
    Address1905 E. Huebbe Parkway
    CityBeloit
    StateWI
    ZIP53511
    TaxonomyUrology Physician
    NPI EnumeratedMay 22, 2006

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

    Payer SourceTotal Paid
    Medicare$81.9K
    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.

    19 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…550$50$24.6K
    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…310$70$21.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…110$60$5.9K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.10$390$4.7K
    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…50$90$4.2K
    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…60$50$3.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.9K
    55700Code deleted December 31, 2025.30$90$2.3K
    52330The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…10$150$1.8K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$40$1.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5059061020$480$9.6K
    992148279,80080$70$9.2K
    520002516070$120$8.8K
    992322,7143,49060$60$7.2K
    992152,8273,32030$110$6.3K
    992131039,38060$50$4.7K
    55700197020$170$4K
    992047713,39030$100$3.7K
    992227752,20020$90$3.1K
    52332369020$120$2.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beloit Health System IncWIGeneral Acute Care Hospital$0$22.7M
    Beloit Health System IncWIGeneral Practice Physician$0$4.9M
    Beloit Health System IncWIRenal Dialysis Technician$0$2M
    Douglas DebenhamINRadiation Oncology Physician$1.8M$0
    John KapoorCAInternal Medicine Physician$812.8K$575.1K
    Jason FriedrichsFLOphthalmology Physician$695K$0
    Anupama UpadhyayIAPsychiatry Physician$31.6K$560.4K
    Charles SweeneyILNephrology Physician$297.6K$157.4K
    Tariq AlamMONeurology Physician$223.8K$3.2K
    James StarrMIInternal Medicine Physician$210.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Systems, Inc.WIFederally Qualified Health Center (FQHC)$0$14.2M
    Orthodontic Experts Of Wisconsin, LLCWIOrthodontics and Dentofacial Orthopedics Dentistry$0$4.4M
    School District Of BeloitWILocal Education Agency (LEA)$0$2.8M
    City Of BeloitWIParamedic$333.3K$1.6M
    Southern Wisconsin Emergency Associates ScWIEmergency Medicine Physician$0$1.7M
    Orthomidwest Surgery Center Beloit, LLCWIAmbulatory Surgical Clinic/Center$415.3K$0
    Jennifer TaylorWINurse Practitioner$185.9K$39.7K
    Walgreen CoWIPharmacy$138.3K$55.6K
    Paul SegalWIDermatology Physician$192.2K$830
    Eric XanthopoulosWIRadiation Oncology Physician$186K$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. Wisconsin Distribution
    Kevin Tomera — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin