Physician

Steven E Tooze, M.D.

According to 2025 Medicare claims, Steven Tooze, M.D. (NPI: 1427051226) practices orthopedic surgery in the Dover, DE market, with the plurality of this provider's patient population coming from Kent, DE. This provider's primary affiliated billing organization is FIRST STATE ORTHOPAEDICS, PA (NPI: 1346220266; TIN: 510297303) and primary practice location at 19904-7801.

Tooze's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,306 traditional Medicare patients, billed 9,265 HCPCS/CPT codes, and received $413,006 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 422 prescription claims across 173 beneficiaries totaling $6,662 in drug costs, led by Celecoxib (Celecoxib). DME data shows 44 claims. Open Payments data shows 3 records totaling $54. 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. Concurrently, Part D prescription costs have fallen sharply in recent years, from $24,650 to $6,662. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $5,269 and ending at $2,484.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,375	10,183	$503,119
2016	1,422	10,565	$584,364
2017	1,558	9,755	$588,659
2018	1,490	8,425	$521,677
2019	1,420	9,061	$569,567
2020	1,192	9,489	$497,908
2021	1,372	10,560	$552,001
2022	1,280	9,148	$484,237
2023	1,281	8,899	$442,504
2024	1,306	9,265	$413,006

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	233	463	$24,650
2016	284	677	$22,940
2017	243	520	$25,427
2018	237	542	$85,948
2019	223	532	$49,916
2020	194	530	$17,090
2021	172	421	$9,099
2022	153	421	$8,655
2023	160	468	$8,947
2024	173	422	$6,662

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	84	84	$7,789
2016	64	64	$4,553
2017	27	27	$908
2018	24	24	$803
2019	22	22	$801
2020	29	29	$2,112
2021	49	63	$3,586
2022	54	86	$5,085
2023	45	57	$3,519
2024	44	44	$2,672

* / # = 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	430	609	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	649	917	$62
20610	Aspiration and/or injection of fluid from large joint	302	562	$47
73564	X-ray of knee, 4 or more views	416	701	$32
73562	X-ray of knee, 3 views	459	950	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	57	2,055	$1,122
Oxycodone Hcl	Oxycodone Hcl	75	502	$415
Diclofenac Sodium	Diclofenac Sodium	13	423	$266
Gabapentin	Gabapentin	34	954	$258
Meloxicam	Meloxicam	23	700	$255

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
E0143	Walker, folding, wheeled, adjustable or fixed height	N	31	31	$1,350
L2999	Lower extremity orthoses, not otherwise specified	N	13	13	$1,322

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$54	Smith+Nephew, 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

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FAQ

What Medicare data is available for Steven E. Tooze, M.D.?

Tedicare shows public-source Medicare data for Steven E. Tooze, M.D. (NPI 1427051226), 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 Steven E. Tooze, 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 Steven E. Tooze, M.D.?

Steven E. Tooze, M.D. is linked to FIRST STATE ORTHOPAEDICS, PA (billing NPI 1346220266) in the available physician profile data.

Does Steven E. Tooze, M.D. have Open Payments data?

Steven E. Tooze, M.D. has 3 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.