Physician

Erika Toyoda, M.D.

According to 2025 Medicare claims, Erika Toyoda, M.D. (NPI: 1346690559) practices family practice in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is RAPID CITY MEDICAL CENTER, LLP (NPI: 1487602843; TIN: 460218851) and primary practice location at 57701-4677. Toyoda is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), CoreHealth Alliance LLC (ACO ID: A5645), and On Belay Health Solutions (ACO ID: A5702), participating under the MSSP model.

Toyoda's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 535 traditional Medicare patients, billed 21,287 HCPCS/CPT codes, and received $361,821 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 13,634 prescription claims across 786 beneficiaries totaling $1,077,781 in drug costs, led by Eliquis (Apixaban). DME data shows 393 claims. Open Payments data shows 15 records totaling $239. 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 $11,471 to $361,821. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,236 to $1,077,781. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $26,713 and ending at $35,873.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	86	476	$11,471
2020	492	9,167	$161,314
2021	489	9,355	$193,860
2022	580	16,505	$263,845
2023	584	24,152	$345,342
2024	535	21,287	$361,821

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	12	39	$1,236
2017	43	185	$13,883
2018	57	260	$19,158
2019	133	484	$28,615
2020	520	7,166	$594,849
2021	596	9,654	$723,625
2022	733	11,422	$821,512
2023	782	13,117	$1,006,021
2024	786	13,634	$1,077,781

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	13	175	$15,443
2021	13	244	$14,907
2022	73	364	$17,873
2023	32	355	$24,631
2024	43	393	$18,412

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	398	398	$125
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	480	720	$77
84443	Blood test, thyroid stimulating hormone (tsh)	397	430	$16
80061	Blood test, lipids (cholesterol and triglycerides)	405	454	$13
36415	Insertion of needle into vein for collection of blood sample	474	853	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	193	10,154	$186,672
Jardiance	Empagliflozin	93	5,508	$101,001
Ozempic	Semaglutide	60	3,140	$97,520
Farxiga	Dapagliflozin Propanediol	83	3,799	$68,648
Xarelto	Rivaroxaban	52	3,210	$57,836

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	14	109	$8,227
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	N	N/R	14	$2,436
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	12	$1,962
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	12	$919
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	23	$802

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$239	Novartis Pharmaceuticals Corporation
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 Erika Toyoda, M.D.?

Tedicare shows public-source Medicare data for Erika Toyoda, M.D. (NPI 1346690559), 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 Erika Toyoda, M.D. have ACO affiliation data?

Erika Toyoda, M.D. is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), CoreHealth Alliance LLC (MSSP, ACO ID A5645), and On Belay Health Solutions (MSSP, ACO ID A5702).

What billing organization is linked to Erika Toyoda, M.D.?

Erika Toyoda, M.D. is linked to RAPID CITY MEDICAL CENTER, LLP (billing NPI 1487602843) in the available physician profile data.

Does Erika Toyoda, M.D. have Open Payments data?

Erika Toyoda, M.D. has 15 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.