Physician

James Toniolo, M.D.

According to 2025 Medicare claims, James Toniolo, M.D. (NPI: 1801815154) practices diagnostic radiology in the Kenosha, WI market, with the plurality of this provider's patient population coming from Kenosha, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53158-1227. Toniolo 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.

Toniolo's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,243 traditional Medicare patients, billed 6,161 HCPCS/CPT codes, and received $166,423 in Medicare payments. The top billing code was 77067 (Screening mammography). 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 risen steadily, from $109,065 to $166,423. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$102K$203K2015 Medicare payment: $109,065 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $110,615 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $95,497 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $107,718 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $127,799 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $150,705 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $176,585 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $172,553 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $203,216 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $166,423 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153,3586,069$109,065
20163,3176,562$110,615
20172,7694,690$95,497
20183,5756,009$107,718
20193,7476,150$127,799
20202,4983,934$150,705
20212,4404,146$176,585
20222,5384,302$172,553
20232,6514,683$203,216
20242,2436,161$166,423

Part D Events Trend

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

No connected Part D records

No connected Part D records

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
77067Screening mammography674674$95
77063Screening 3d breast mammography673673$42
70450Ct scan head or brain without contrast148148$26
71046X-ray of chest, 2 views115115$15
71045X-ray of chest, 1 view332343$6

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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 James Toniolo, M.D.?

Tedicare shows public-source Medicare data for James Toniolo, M.D. (NPI 1801815154), 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 James Toniolo, M.D. have ACO affiliation data?

James Toniolo, M.D. 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 James Toniolo, M.D.?

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

Does James Toniolo, 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.