Physician

Jeffrey M Tomasini

According to 2025 Medicare claims, Jeffrey Tomasini (NPI: 1417272535) practices urology in the Sheboygan, WI market, with the plurality of this provider's patient population coming from Sheboygan, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53081-3129. Tomasini is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Tomasini's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 247 traditional Medicare patients, billed 1,521 HCPCS/CPT codes, and received $100,561 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 1,067 prescription claims across 284 beneficiaries totaling $115,589 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 11 claims. Open Payments data shows 1 records totaling $21. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $7,245 to $115,589. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $220 and ending at $294.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	58	240	$20,279
2016	198	1,053	$74,674
2017	278	1,351	$112,342
2018	266	1,136	$99,262
2019	304	1,378	$112,240
2020	320	2,902	$142,261
2021	362	4,295	$170,144
2022	287	2,784	$112,340
2023	254	1,810	$112,608
2024	247	1,521	$100,561

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	46	110	$7,245
2016	142	708	$62,928
2017	225	1,054	$108,046
2018	255	1,178	$113,213
2019	291	1,228	$126,182
2020	311	1,439	$167,739
2021	356	1,680	$211,068
2022	312	1,390	$171,740
2023	297	1,186	$127,502
2024	284	1,067	$115,589

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	30	$4,275
2018	N/R	26	$5,320
2019	N/R	N/R	N/R
2020	N/R	86	$21,932
2021	N/R	77	$11,303
2022	N/R	74	$5,067
2023	N/R	60	$6,527
2024	N/R	11	$4,352

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	49	57	$167
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$107
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	70	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	111	126	$58
51798	Ultrasound measurement of bladder capacity after voiding	41	51	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	144	6,240	$92,793
Eliquis	Apixaban	17	238	$5,048
Tamsulosin Hcl	Tamsulosin Hcl	321	22,747	$3,414
Solifenacin Succinate	Solifenacin Succinate	78	3,339	$2,270
Cephalexin	Cephalexin	120	1,976	$991

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	11	$4,352

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$21	PROCEPT BioRobotics 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 Jeffrey M. Tomasini?

Tedicare shows public-source Medicare data for Jeffrey M. Tomasini (NPI 1417272535), 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 Jeffrey M. Tomasini have ACO affiliation data?

Jeffrey M. Tomasini is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Jeffrey M. Tomasini?

Jeffrey M. Tomasini is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Jeffrey M. Tomasini have Open Payments data?

Jeffrey M. Tomasini 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.