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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNestor Tomycz
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    Nestor Tomycz — Billing Profile & Reimbursement Data

    NPI 1316140338 · Washington, PA · Neurological Surgery Physician

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    Nestor Tomycz is a neurological surgery physician provider located in Washington, Pennsylvania. This profile covers 16 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
    OrganizationNestor Tomycz
    Address380 W Chestnut St Ste 101
    CityWashington
    StatePA
    ZIP15301
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJune 7, 2007

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

    Payer SourceTotal Paid
    Medicare$119.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…20$1,240$19.9K
    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…180$90$15.4K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$740$11.1K
    63655In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…20$640$10.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$130$10K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$480$8.7K
    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…70$110$7.6K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…30$250$7.3K
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…30$190$5.8K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.40$160$5.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368584020$6,350$139.6K
    6365551020$2,430$41.2K
    22633245020$1,150$27.7K
    992147,73223,230100$80$14.5K
    226147910040$270$14.5K
    630479614020$490$14.3K
    228424810020$500$10.6K
    992151,8597,17040$120$8.6K
    9921312,53822,37070$60$7.7K
    630485511040$130$6.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jefferson Regional Medical CenterPAGeneral Acute Care Hospital$0$12.7M
    West Penn Allegheny Health System Inc.PAGeneral Acute Care Hospital$0$8.2M
    Richard KimSCRheumatology Physician$3.6M$0
    Thierry VerstraetenPAOphthalmology Physician$894.3K$45K
    Allegheny ClinicPARadiology Clinic/Center$842K$0
    Myles MitsunagaCADiagnostic Radiology Physician$510.8K$113.9K
    Carol MayfieldPAFamily Nurse Practitioner$568.5K$0
    Angela StupiPARheumatology Physician$472.5K$27.1K
    Lynette JudyPANurse Practitioner$461.1K$0
    Bruce CotugnoPANeurology Physician$301.4K$143.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Positive Recovery Solutions, LLCPAGeneral Practice Physician$0$29.2M
    The Care CenterPASubstance Use Disorder Rehabilitation Clinic/Center$0$19.5M
    Phoenix-washington, Inc. - Tdba Greenbriar Treatment CenterPASubstance Abuse Rehabilitation Facility$0$17.4M
    Gateway Rehabilitation CenterPASubstance Use Disorder Rehabilitation Clinic/Center$0$14.6M
    Trpil Community ServicesPAHome Health Agency$0$12.4M
    Upmc WashingtonPAGeneral Acute Care Hospital$0$11.2M
    Ambulance And Chair Ems, IncPALand Ambulance$904.2K$5.6M
    Abstinent Living At The Turning Point At Washington, IncPAAddiction (Substance Use Disorder) Counselor$0$5.9M
    E. Ronald Salvitti, M.d., Inc.PAAmbulatory Surgical Clinic/Center$986.7K$20.9K
    Guy AvolioPAEmergency Medicine Physician$558.1K$234.2K

    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
    Nestor Tomycz — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania