Physician

Michael W Toulan, M.D.

According to 2025 Medicare claims, Michael Toulan, M.D. (NPI: 1316920994) practices urology in the Wichita Falls, TX market, with the plurality of this provider's patient population coming from Wichita, TX. This provider's primary affiliated billing organization is TEXOMA UROLOGY CENTER (NPI: 1003836040; TIN: 751455144) and primary practice location at 76310-1612. Toulan is affiliated with the Caravan Health ACO 43 LLC (ACO ID: A4974) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Toulan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 923 traditional Medicare patients, billed 15,468 HCPCS/CPT codes, and received $395,846 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,175 prescription claims across 663 beneficiaries totaling $216,827 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 151 claims. Open Payments data shows 21 records totaling $453. 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. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $0 to $138.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	815	44,388	$334,973
2016	816	35,156	$295,478
2017	800	36,660	$261,059
2018	776	44,701	$296,308
2019	778	31,811	$326,052
2020	712	12,493	$272,521
2021	729	11,376	$331,289
2022	729	11,676	$304,677
2023	759	13,230	$346,328
2024	923	15,468	$395,846

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	411	2,461	$176,824
2016	421	2,486	$177,161
2017	404	2,442	$199,891
2018	473	2,330	$177,894
2019	481	2,577	$164,300
2020	441	2,434	$178,237
2021	483	2,446	$187,622
2022	508	2,609	$168,971
2023	548	2,586	$201,891
2024	663	3,175	$216,827

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	37	199	$1,323
2016	45	209	$1,674
2017	49	246	$1,874
2018	61	254	$2,050
2019	52	211	$1,655
2020	37	157	$2,857
2021	31	113	$2,515
2022	35	144	$1,148
2023	28	129	$5,544
2024	42	151	$6,178

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	654	1,384	$96
84153	Psa (prostate specific antigen) measurement, total	510	821	$18
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	747	1,695	$13
36415	Insertion of needle into vein for collection of blood sample	528	866	$9
81003	Automated urinalysis test	748	1,669	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	129	5,156	$77,876
Gemtesa	Vibegron	125	4,696	$75,734
Tamsulosin Hcl	Tamsulosin Hcl	1,070	57,465	$14,192
Eliquis	Apixaban	34	360	$7,745
Dutasteride	Dutasteride	158	8,627	$3,836

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	19	$4,861
A4338	Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	16	44	$551
A4340	Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each	N	N/R	13	$376
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	12	37	$211
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	11	$97

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	21	$453	Ferring Pharmaceuticals 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

Explore More Providers

FAQ

What Medicare data is available for Michael W. Toulan, M.D.?

Tedicare shows public-source Medicare data for Michael W. Toulan, M.D. (NPI 1316920994), 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 Michael W. Toulan, M.D. have ACO affiliation data?

Michael W. Toulan, M.D. is shown with ACO affiliation data for Caravan Health ACO 43 LLC (MSSP, ACO ID A4974) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Michael W. Toulan, M.D.?

Michael W. Toulan, M.D. is linked to TEXOMA UROLOGY CENTER (billing NPI 1003836040) in the available physician profile data.

Does Michael W. Toulan, M.D. have Open Payments data?

Michael W. Toulan, M.D. has 21 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.