Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Federated States of Micronesia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Federated States of Micronesia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Federated States of Micronesia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tomi Rumano (NPI 1467985176)

Field	Value
Entity Type	Individual
Organization	Tomi Rumano
Address	Trinity Health Iha Medical Group Psychiatry & Counselin
City	Ypsilanti
State	FM (Federated States of Micronesia)
ZIP	48197
Taxonomy	Psychiatry Physician
NPI Enumerated	April 10, 2017

Payer Source	Total Paid
Medicare	$34.1K
Medicaid	$0

Key Findings

This provider’s billed Medicare volume is modest in absolute terms: Total Medicare revenue is $34.1K and there is no Medicaid billing on file, making the practice effectively single-payer Medicare in scale. The precomputed metric that the top 3 Medicare codes by revenue account for 91.8% of this provider's total Medicare revenue underscores a highly concentrated Medicare revenue base.

The dominant service line is hospital inpatient evaluation and management: 99232 is the primary revenue driver with 404 claims, $64 avg paid/claim, and $25.9K revenue (75.6% of this provider's total Medicare revenue). Complementary inpatient codes 99239 (30 claims, $93 avg paid/claim, $2.8K revenue, 8.2%) and 99223 (23 claims, $119 avg paid/claim, $2.7K revenue, 8.0%) complete the top three, which together account for 91.8% of Medicare revenue, indicating the practice operates primarily through inpatient/observation encounters and discharge management.

Despite occupying the 88th percentile nationally for 99232 (rank #20659 of 177383), the supplied descriptor labels this as "typical, unremarkable volume for this code," so while 99232 drives this provider’s revenue mix locally, the charted usage is not flagged as an extreme outlier in the reference dataset. The secondary codes 99239 and 99223 are both described as "typical, unremarkable volume for this code" at lower national percentiles (99239: rank #42996 of 62398, 30th percentile; 99223: rank #97462 of 139583, 29th percentile), suggesting overall participation is within normal ranges for peers.

Psychiatric psychotherapy services billed as an add-on are present but very limited: 90833 appears in 23 claims with $50 avg paid/claim and $1.2K revenue (3.4% of Medicare revenue), and the code is described as "typical, unremarkable volume for this code." This pattern indicates the provider’s Medicare-facing activity is weighted to inpatient medical/behavioral health E/M rather than recurring outpatient psychotherapy sessions billed to Medicare.

Operationally, the large share concentrated in a single code—99232 at $25.9K (75.6%)—means the practice’s Medicare revenue is highly sensitive to changes in inpatient referral volume, hospital privileges, or inpatient workflows. With top three codes accounting for 91.8% of Medicare revenue, any reduction in hospital-based encounters could materially affect revenue stability for this provider.

The absence of any Medicaid billing on file is notable: there is no recorded Medicaid revenue and no top Medicaid codes to analyze. This lack of Medicaid activity could reflect the provider’s practice setting, payer enrollment choices, or patient panel composition and indicates the provider is effectively single-payer (Medicare) from the available claims data.

Tenure and professional identity are clearly documented: the provider is listed as a Psychiatry Physician and the NPI was enumerated on 2017-04-10 (~9 years ago). This duration suggests an established billing history long enough to show a stable pattern of inpatient-focused Medicare activity rather than a transient or newly enrolled biller.

Comparative code-level standing for lower-volume codes reinforces modest national participation: 99233 is ranked #120864 of 128818 (5th percentile) and 90833 ranks #7242 of 7842 (7th percentile), both described as "typical, unremarkable volume for this code." Taken together, the rank and descriptor mix indicates the provider is not a dominant national player across multiple psychiatric CPT codes but does show concentrated strength on one inpatient E/M code within the Medicare universe.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	400	$60	$25.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	30	$90	$2.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$120	$2.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$100	$1.6K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	20	$50	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes. Note: this provider's state, "FM," is a Pacific island nation in free association with the United States — not one of the 50 states; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Federated States of Micronesia Distribution

Tomi Rumano — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Federated States of Micronesia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	1	10	400	$60	$25.8K
99239	1	10	30	$90	$2.8K
99223	1	10	20	$120	$2.7K
99233	1	10	20	$100	$1.6K
90833	1	10	20	$50	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Joseph Mercy Hospital	MI	General Acute Care Hospital	$0	$65.2M
Saint Joseph Mercy Livingston Hospital	MI	General Acute Care Hospital	$0	$18.3M
Lisa Faia	MI	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Ashvani Dass	MI	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Irfan Hameed	TX	Interventional Cardiology Physician	$954.2K	$0
Jason Mazzurco	VA	MOHS-Micrographic Surgery Physician	$815.7K	$0
Kent Krach	MI	MOHS-Micrographic Surgery Physician	$494.1K	$0
David Altman	MI	Dermatology Physician	$332.2K	$0
Jessica Ghaferi	WI	Dermatopathology Physician	$270.9K	$0
Tracey Venning	MI	Emergency Medicine Physician	$218.5K	$0

Tomi Rumano — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References