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NPI 1821198466 · Peabody, MA · Surgery of the Hand (Surgery) Physician
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Eric Tolo is a surgery of the hand (surgery) physician provider located in Peabody, Massachusetts. This profile covers 12 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Eric Tolo |
| Address | 1 Essex Center Dr |
| City | Peabody |
| State | MA |
| ZIP | 01960 |
| Taxonomy | Surgery of the Hand (Surgery) Physician |
| NPI Enumerated | September 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $66.1K |
| Medicaid | $470 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 230 | $80 | $18.2K |
| 99213 | The 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… | 260 | $50 | $13.6K |
| 99204 | The 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 | $110 | $10K |
| 99203 | The 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… | 90 | $70 | $5.7K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 20 | $330 | $5.5K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 20 | $200 | $3.3K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 80 | $30 | $2.4K |
| 25066 | The provider removes a sample of suspicious tissue from the subfascial or intramuscular soft tissues of forearm and or wrist. He submits it to a laboratory for analysis to determine its nature. | 20 | $160 | $2.3K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 50 | $40 | $2K |
| 20600 | In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 50 | $30 | $1.3K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64721 | 64 | 80 | 30 | $400 | $18K |
| 99214 | 3,925 | 15,410 | 110 | $80 | $15.6K |
| 26055 | 57 | 70 | 30 | $290 | $10.2K |
| 99213 | 2,060 | 13,700 | 70 | $60 | $8.8K |
| 20610 | 506 | 980 | 60 | $50 | $5.8K |
| 99204 | 702 | 5,870 | 30 | $120 | $5.6K |
| 99203 | 723 | 4,290 | 30 | $80 | $4.1K |
| 25066 | 3 | 10 | 20 | $150 | $2.9K |
| 20550 | 73 | 270 | 30 | $40 | $2.5K |
| 20526 | 27 | 60 | 20 | $70 | $1.9K |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 10 | $40 | $470 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 5,120 | 5,300 | 230 | $60 | $164.5K |
Other providers in the same ZIP code as Eric Tolo, ranked by combined Medicare and Medicaid revenue.
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