Physician

Paul James Tolentino, MD PHD

According to 2025 Medicare claims, Paul Tolentino, MD PHD (NPI: 1023067261) practices neurosurgery in the Cape Girardeau, MO-IL market, with the plurality of this provider's patient population coming from Cape Girardeau, MO. This provider's primary affiliated billing organization is REGIONAL BRAIN & SPINE LLC (NPI: 1992753289; TIN: 201953477) and primary practice location at 63701-5230. Tolentino is affiliated with the Mercy Health ACO, LLC (ACO ID: A2616), participating under the MSSP model.

Tolentino's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 156 traditional Medicare patients, billed 693 HCPCS/CPT codes, and received $253,356 in Medicare payments. The top billing code was 22633 (Fusion of spine in lower back with partial removal of spine bone and disc). Part D data shows 205 prescription claims across 111 beneficiaries totaling $1,189 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 14 claims. Open Payments data shows 1 records totaling $27. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have declined steadily, from $6,993 to $1,189. For DME billing, reported payments declined steadily, from $142,421 to $54,535.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	195	678	$308,318
2016	208	698	$328,176
2017	196	785	$336,069
2018	169	680	$308,943
2019	166	701	$321,086
2020	127	576	$256,442
2021	191	769	$298,794
2022	152	721	$288,071
2023	150	762	$305,228
2024	156	693	$253,356

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	158	454	$6,993
2016	177	548	$8,233
2017	183	425	$3,916
2018	167	422	$4,008
2019	189	468	$4,220
2020	147	418	$3,508
2021	151	462	$6,950
2022	142	341	$5,823
2023	122	211	$1,859
2024	111	205	$1,189

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	59	60	$146,605
2016	61	61	$146,668
2017	62	62	$144,635
2018	54	54	$181,751
2019	65	65	$179,741
2020	47	47	$168,420
2021	26	26	$94,064
2022	21	21	$79,093
2023	32	32	$129,631
2024	14	14	$54,253

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
22633	Fusion of spine in lower back with partial removal of spine bone and disc	33	33	$1,270
22842	Placement of stabilizing device to back, 3-6 spine bone segments	40	41	$550
22853	Insertion of cage or mesh device to spine bone and disc space during spine fusion	61	114	$185
63052	Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	46	46	$184
61783	Computer-assisted spinal procedure	58	59	$165

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	111	730	$793
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	46	319	$297
Tramadol Hcl	Tramadol Hcl	17	115	$19
Diazepam	Diazepam	11	13	$8

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0748	Osteogenesis stimulator, electrical, non-invasive, spinal applications	N	14	14	$54,253

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$27	Orthofix Medical, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Paul James Tolentino, MD PHD?

Tedicare shows public-source Medicare data for Paul James Tolentino, MD PHD (NPI 1023067261), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Paul James Tolentino, MD PHD have ACO affiliation data?

Paul James Tolentino, MD PHD is shown with ACO affiliation data for Mercy Health ACO, LLC (MSSP, ACO ID A2616).

What billing organization is linked to Paul James Tolentino, MD PHD?

Paul James Tolentino, MD PHD is linked to REGIONAL BRAIN & SPINE LLC (billing NPI 1992753289) in the available physician profile data.

Does Paul James Tolentino, MD PHD have Open Payments data?

Paul James Tolentino, MD PHD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.