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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Tolerico
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    Paul Tolerico — Billing Profile & Reimbursement Data

    NPI 1487692331 · York, PA · Interventional Cardiology Physician

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    Paul Tolerico is a interventional cardiology physician provider located in York, Pennsylvania. This profile covers 15 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
    OrganizationPaul Tolerico
    Address30 Monument Rd
    CityYork
    StatePA
    ZIP17403
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedJune 3, 2006

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

    Payer SourceTotal Paid
    Medicare$83.3K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…30$580$18K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…50$390$17.7K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…40$200$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…80$90$7.4K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…20$260$6.3K
    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$120$5.4K
    93456In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with right heart catheterization. He also performs injections to assess any coronary artery…20$230$4.3K
    92978In this add–on procedure, the provider advances a catheter into a coronary vessel or previously placed graft using ultrasound or optical coherence tomography to view the extent of the blockage,…40$70$2.9K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…90$30$2.7K
    93459In this procedure, the provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into the…10$220$2.6K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    333615715030$590$19.5K
    9921412,97423,230100$80$14.5K
    929283023030$420$12.6K
    992156,5607,17040$120$8.6K
    9345811028040$200$8.4K
    9921320,88822,37070$60$7.7K
    934606515020$280$7.2K
    9345414215020$160$5K
    992043,27010,29030$110$5K
    93456329020$230$4.6K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellspan Medical GroupPAPsychiatry Physician$0$22.3M
    Wellspan Medical GroupPAPediatrics Physician$0$9.9M
    Ki HasslerFLCardiovascular Disease Physician$858.6K$0
    Matthew SingletonPAClinical Cardiac Electrophysiology Physician$409.6K$410
    Duane WhitlockPASpecialist$392.1K$0
    George LogothetisPACardiovascular Disease Physician$355.9K$3.1K
    Martin AlbornozMDInterventional Cardiology Physician$230K$0
    Gregory FazioPAClinical Cardiac Electrophysiology Physician$214.3K$370
    Jefferson LeePAClinical Cardiac Electrophysiology Physician$198.2K$180
    Anthony JohnsonPAClinical Cardiac Electrophysiology Physician$162.6K$130

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    York HospitalPAGeneral Acute Care Hospital$0$40.7M
    Family First Health CorporationPAFederally Qualified Health Center (FQHC)$0$6.4M
    York HospitalPAFamily Medicine Physician$0$6.2M
    Haiyun WangPAHematology & Oncology Physician$2M$0
    Joyce HuangPAHematology & Oncology Physician$1.7M$0
    Joseph KannarkattPAHematology & Oncology Physician$1.7M$0
    Chanh HuynhPAHematology & Oncology Physician$1.4M$430
    Dan SotirescuPAHematology & Oncology Physician$1.4M$0
    Apple Hill Surgical Center PartnersPAAmbulatory Surgical Clinic/Center$996.2K$283.1K
    Daniel Efiom-ekahaPAHematology & Oncology Physician$1.2M$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. Pennsylvania Distribution
    Paul Tolerico — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania