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    v1.0.28
    OpenPayerNPI Medicare & MedicaidElizabeth Toh
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    Elizabeth Toh — Billing Profile & Reimbursement Data

    NPI 1437125069 · Burlington, MA · Otolaryngology Physician

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    Elizabeth Toh is a otolaryngology physician provider located in Burlington, Massachusetts. This profile covers 23 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
    OrganizationElizabeth Toh
    Address41 Mall Rd
    CityBurlington
    StateMA
    ZIP01805
    TaxonomyOtolaryngology Physician
    NPI EnumeratedFebruary 24, 2006

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

    Payer SourceTotal Paid
    Medicare$86.2K
    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.

    23 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…340$50$16.9K
    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…190$80$15.5K
    69930The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…10$1,100$13.2K
    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$100$9.8K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…200$20$4.7K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.20$140$3.3K
    92604The provider performs reprogramming of a cochlear implant previously placed in a patient 7 years of age or older. The provider ensures that the implant is working properly and also counsels the…60$50$3.1K
    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…40$60$2.5K
    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…20$110$2.4K
    69220The provider cleans out the cavity left by a mastoidectomy. Patients sometimes require one or more debridement procedures after mastoidectomy before the cavity settles down, i.e., dries out.50$50$2.2K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6993041010$1,070$16K
    992144,82015,410110$80$15.6K
    3123117019060$130$15.6K
    992154,7366,36040$120$8.9K
    992131,43513,70070$60$8.8K
    992047025,87030$120$5.6K
    9255782280130$30$4.6K
    9254062030$70$4.1K
    992031,8734,29030$80$4.1K
    6921014143030$30$3.3K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey MarxMAOphthalmology Physician$933.2K$0
    Gregory BlahaMAOphthalmology Physician$318.1K$0
    Andrew KowalMAPain Medicine (Anesthesiology) Physician$226.3K$1.7K
    Kimberly JordanMNDiagnostic Radiology Physician$215.2K$0
    R. BohigianMAOtolaryngology Physician$201.2K$0
    Jonathan SilverMAClinical Cardiac Electrophysiology Physician$189.6K$1.1K
    Arthur MourtzinosMAUrology Physician$186.2K$0
    Christopher PyneMAInterventional Cardiology Physician$176.1K$4.9K
    Sarkis SoukiasianMAUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$170.3K$0
    Bruce HookMAClinical Cardiac Electrophysiology Physician$160K$290

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lahey Clinic Hospital, Inc.MAGeneral Acute Care Hospital$0$112.9M
    Lahey Clinic, Inc.MAInternal Medicine Physician$0$5.7M
    Kendra Klein-masciaMAOphthalmology Physician$1.4M$0
    David RamseyMAOphthalmology Physician$1M$0
    Stephen LyleMAAnatomic Pathology Physician$852.2K$40.3K
    Lahey Clinic Hospital IncMAAmbulance$433.4K$72.9K
    Naveen RaoMACornea and External Diseases Specialist Physician$392.8K$0
    Pauline ReohrMADermatology Physician$385.6K$0
    Sherry EmeryMAAnatomic Pathology & Clinical Pathology Physician$208.6K$64.9K
    Christopher WrightMARadiation Oncology Physician$267.5K$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. Massachusetts Distribution
    Elizabeth Toh — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts