Physician

Wayne P Tongco, MD

According to 2025 Medicare claims, Wayne Tongco, MD (NPI: 1609830504) practices urology in the Johnson City, TN market, with the plurality of this provider's patient population coming from Washington, TN. This provider's primary affiliated billing organization is HOLSTON MEDICAL GROUP PC (NPI: 1831110667; TIN: 621388079) and primary practice location at 37604-2977. Tongco is affiliated with the Emergent ACO, LLC (ACO ID: A4556), participating under the MSSP model.

Tongco's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 714 traditional Medicare patients, billed 5,158 HCPCS/CPT codes, and received $187,323 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 2,013 prescription claims across 676 beneficiaries totaling $1,338,568 in drug costs, led by Erleada (Apalutamide). DME data shows 73 claims. Open Payments data shows 74 records totaling $3,519. 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 up and down with repeated peaks and valleys, starting at $203,329 and ending at $187,323. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $186,425 to $1,338,568. In contrast, DME billing represents a smaller volume and rose steadily, from $735 to $1,141.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	731	5,451	$203,329
2016	839	7,613	$234,566
2017	803	8,032	$217,773
2018	808	7,888	$279,174
2019	1,020	8,725	$228,728
2020	867	5,481	$171,417
2021	819	8,390	$215,671
2022	923	7,046	$349,077
2023	1,078	8,320	$237,267
2024	714	5,158	$187,323

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	615	2,256	$186,425
2016	623	2,344	$253,441
2017	679	2,385	$408,505
2018	648	2,415	$590,070
2019	704	2,376	$422,072
2020	791	2,674	$779,286
2021	843	2,752	$904,494
2022	741	2,275	$881,483
2023	769	2,328	$1,043,325
2024	676	2,013	$1,338,568

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	73	$16,589
2016	N/R	66	$17,144
2017	N/R	103	$32,523
2018	N/R	100	$38,475
2019	N/R	109	$41,678
2020	N/R	98	$41,081
2021	N/R	108	$39,715
2022	N/R	151	$46,713
2023	N/R	57	$36,882
2024	N/R	73	$34,620

* / # = 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	389	525	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	259	293	$61
51798	Ultrasound measurement of bladder capacity after voiding	164	197	$7
81001	Manual urinalysis test with examination using microscope, automated	320	436	$3
81003	Automated urinalysis test	325	432	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Erleada	Apalutamide	68	2,040	$1,003,747
Gemtesa	Vibegron	86	4,830	$74,422
Xgeva	Denosumab	16	464	$51,237
Myrbetriq	Mirabegron	37	2,381	$36,251
Tamsulosin Hcl	Tamsulosin Hcl	431	33,531	$6,077

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
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	16	$23,510
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	20	$7,766
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	12	$1,556
A4432	Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each	N	N/R	13	$1,457
A4332	Lubricant, individual sterile packet, each	N	N/R	12	$332

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	74	$3,519	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 Wayne P. Tongco, MD?

Tedicare shows public-source Medicare data for Wayne P. Tongco, MD (NPI 1609830504), 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 Wayne P. Tongco, MD have ACO affiliation data?

Wayne P. Tongco, MD is shown with ACO affiliation data for Emergent ACO, LLC (MSSP, ACO ID A4556).

What billing organization is linked to Wayne P. Tongco, MD?

Wayne P. Tongco, MD is linked to HOLSTON MEDICAL GROUP PC (billing NPI 1831110667) in the available physician profile data.

Does Wayne P. Tongco, MD have Open Payments data?

Wayne P. Tongco, MD has 74 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.