Physician

Timothy R Toonen, M.D.

According to 2025 Medicare claims, Timothy Toonen, M.D. (NPI: 1770552317) practices hematology/oncology in the Minneapolis-St. Paul-Bloomington, MN-WI market, with the plurality of this provider's patient population coming from St. Croix, WI. This provider's primary affiliated billing organization is MINNESOTA ONCOLOGY HEMATOLOGY, PA (NPI: 1528035995; TIN: 411793418) and primary practice location at 54016-4439. Toonen is affiliated with the Mayo Clinic Community ACO, LLC (ACO ID: A4617), participating under the MSSP model.

Toonen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 154 traditional Medicare patients, billed 31,464 HCPCS/CPT codes, and received $606,814 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 251 prescription claims across 57 beneficiaries totaling $824,087 in drug costs, led by Revlimid (Lenalidomide). 2015 DME data shows 14 claims. No Open Payments records. 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 from a lower plateau to a higher plateau, from $445,378 to $606,814. In contrast, Part D prescription costs have moved from a higher plateau to a lower plateau, from $674,230 to $824,087. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$626K$1.3M2015 Medicare payment: $445,378 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $533,190 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $742,772 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $721,042 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,085,409 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,060,297 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,251,748 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,128,711 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $824,422 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $606,814 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201527666,919$445,378
201627867,625$533,190
201724969,925$742,772
201827578,782$721,042
2019426104,970$1,085,409
202033184,125$1,060,297
202127597,276$1,251,748
2022247102,079$1,128,711
202323877,715$824,422
202415431,464$606,814

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$519K$1.0M2015 Drug cost: $674,230 (USD; Tot_Drug_Cst)2016 Drug cost: $1,038,980 (USD; Tot_Drug_Cst)2017 Drug cost: $966,648 (USD; Tot_Drug_Cst)2018 Drug cost: $1,001,612 (USD; Tot_Drug_Cst)2019 Drug cost: $447,104 (USD; Tot_Drug_Cst)2020 Drug cost: $451,606 (USD; Tot_Drug_Cst)2021 Drug cost: $486,883 (USD; Tot_Drug_Cst)2022 Drug cost: $414,256 (USD; Tot_Drug_Cst)2023 Drug cost: $547,250 (USD; Tot_Drug_Cst)2024 Drug cost: $824,087 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201593524$674,230
201688705$1,038,980
201793602$966,648
201875496$1,001,612
201975384$447,104
202065313$451,606
202171306$486,883
202279344$414,256
202375330$547,250
202457251$824,087

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$541$1.1K2015 Medicare payment: $1,082 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R14$1,082
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more75146$63
G2211Visit 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's70124$12
80053Blood test, comprehensive group of blood chemicals90214$10
36415Insertion of needle into vein for collection of blood sample95223$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count97234$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RevlimidLenalidomide20568$435,733
BrukinsaZanubrutinib18540$172,374
Anagrelide HclAnagrelide Hcl11310$3,703
HydroxyureaHydroxyurea291,750$613
DexamethasoneDexamethasone16371$269

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Timothy R. Toonen, M.D.?

Tedicare shows public-source Medicare data for Timothy R. Toonen, M.D. (NPI 1770552317), 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 Timothy R. Toonen, M.D. have ACO affiliation data?

Timothy R. Toonen, M.D. is shown with ACO affiliation data for Mayo Clinic Community ACO, LLC (MSSP, ACO ID A4617).

What billing organization is linked to Timothy R. Toonen, M.D.?

Timothy R. Toonen, M.D. is linked to MINNESOTA ONCOLOGY HEMATOLOGY, PA (billing NPI 1528035995) in the available physician profile data.

Does Timothy R. Toonen, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.