Physician

Kiley Toder, M.D.

According to 2025 Medicare claims, Kiley Toder, M.D. (NPI: 1063640225) practices rheumatology in the Providence-Warwick, RI-MA market, with the plurality of this provider's patient population coming from Providence, RI. This provider's primary affiliated billing organization is TODER RHEUMATOLOGY & OSTEOPOROSIS CENTER, P.C. (NPI: 1609272376; TIN: 472146775) and primary practice location at 02919-3228.

Toder's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 365 traditional Medicare patients, billed 154,655 HCPCS/CPT codes, and received $1,522,476 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 2,592 prescription claims across 452 beneficiaries totaling $2,459,417 in drug costs, led by Enbrel Sureclick (Etanercept). No Open Payments records. 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 moved sharply higher in recent years, from $9,500 to $1,522,476. Similarly, Part D prescription costs have moved sharply higher in recent years, from $19,185 to $2,459,417. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	52	127	$9,500
2016	115	482	$24,729
2017	131	1,106	$29,195
2018	123	4,610	$85,967
2019	149	8,415	$123,761
2020	178	25,034	$339,838
2021	197	36,237	$407,560
2022	258	48,021	$521,814
2023	365	122,969	$1,287,564
2024	365	154,655	$1,522,476

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	24	102	$19,185
2016	65	376	$74,532
2017	92	457	$44,620
2018	91	471	$176,185
2019	100	586	$258,774
2020	107	574	$285,405
2021	113	614	$457,169
2022	173	751	$724,165
2023	340	1,599	$1,566,430
2024	452	2,592	$2,459,417

DME Billing Trend

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

No connected DME records

* / # = 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
96413	Administration of chemotherapy into vein, 1 hour or less	72	423	$97
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	349	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	240	451	$68
J0897	Injection, denosumab, 1 mg	74	6,300	$21
96372	Injection of drug or substance under skin or into muscle	79	150	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	92	2,578	$700,266
Xeljanz	Tofacitinib Citrate	79	2,430	$457,929
Humira(Cf) Pen	Adalimumab	59	1,672	$433,065
Enbrel Mini	Etanercept	23	644	$189,264
Actemra	Tocilizumab	29	812	$158,232

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Kiley Toder, M.D.?

Tedicare shows public-source Medicare data for Kiley Toder, M.D. (NPI 1063640225), 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 Kiley Toder, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Kiley Toder, M.D.?

Kiley Toder, M.D. is linked to TODER RHEUMATOLOGY & OSTEOPOROSIS CENTER, P.C. (billing NPI 1609272376) in the available physician profile data.

Does Kiley Toder, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.