Physician

Eugene A Tolomeo, MD

According to 2025 Medicare claims, Eugene Tolomeo, MD (NPI: 1245257013) practices neurology in the Rochester, NY market, with the plurality of this provider's patient population coming from Ontario, NY. This provider's primary affiliated billing organization is FLX MEDICAL INFUSION, PLLC (NPI: 1073209524) and primary practice location at 14424-1727. Tolomeo is affiliated with the Rochester Regional Health ACO, Inc. (ACO ID: A3476), participating under the MSSP model.

Tolomeo's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 243 traditional Medicare patients, billed 36,021 HCPCS/CPT codes, and received $244,493 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 4,306 prescription claims across 605 beneficiaries totaling $1,694,315 in drug costs, led by Gammagard Liquid (Immun Glob G(Igg)/Gly/Iga Ov50). 2018 DME data shows 12 claims. Open Payments data shows 227 records totaling $14,029. 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 $64,349 to $244,493. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$122K$244K2015 Medicare payment: $64,349 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $66,104 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $61,858 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $66,151 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $62,420 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $73,160 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $82,853 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $84,352 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $143,377 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $244,493 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152951,019$64,349
20162901,928$66,104
20172902,053$61,858
20182781,316$66,151
20192801,203$62,420
20202733,825$73,160
20212804,162$82,853
20222672,950$84,352
20232315,556$143,377
202424336,021$244,493

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.1M$2.2M2015 Drug cost: $1,734,864 (USD; Tot_Drug_Cst)2016 Drug cost: $1,930,275 (USD; Tot_Drug_Cst)2017 Drug cost: $2,191,157 (USD; Tot_Drug_Cst)2018 Drug cost: $2,147,088 (USD; Tot_Drug_Cst)2019 Drug cost: $2,149,122 (USD; Tot_Drug_Cst)2020 Drug cost: $1,151,191 (USD; Tot_Drug_Cst)2021 Drug cost: $1,296,046 (USD; Tot_Drug_Cst)2022 Drug cost: $2,046,963 (USD; Tot_Drug_Cst)2023 Drug cost: $2,002,985 (USD; Tot_Drug_Cst)2024 Drug cost: $1,694,315 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154175,056$1,734,864
20164035,018$1,930,275
20174475,103$2,191,157
20184804,942$2,147,088
20195075,156$2,149,122
20204904,335$1,151,191
20215524,257$1,296,046
20226114,785$2,046,963
20236414,604$2,002,985
20246054,306$1,694,315

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$312$6252017 Medicare payment: $625 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $605 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R11$625
2018N/R12$605
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2626$123
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more129167$82
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more2424$81
95886Needle measurement of electrical activity in arm or leg muscles, complete study2628$69
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more7986$57

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov501737$280,990
Austedo XrDeutetrabenazine14420$193,633
IngrezzaValbenazine Tosylate22660$176,633
Nurtec OdtRimegepant Sulfate752,293$107,410
Gamunex-CImmune Globul G/Gly/Iga Avg 4628784$104,529

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.227$14,029GENZYME CORPORATION
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Eugene A. Tolomeo, MD?

Tedicare shows public-source Medicare data for Eugene A. Tolomeo, MD (NPI 1245257013), 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 Eugene A. Tolomeo, MD have ACO affiliation data?

Eugene A. Tolomeo, MD is shown with ACO affiliation data for Rochester Regional Health ACO, Inc. (MSSP, ACO ID A3476).

What billing organization is linked to Eugene A. Tolomeo, MD?

Eugene A. Tolomeo, MD is linked to FLX MEDICAL INFUSION, PLLC (billing NPI 1073209524) in the available physician profile data.

Does Eugene A. Tolomeo, MD have Open Payments data?

Eugene A. Tolomeo, MD has 227 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.