Physician

Mariam Totonchy

According to 2025 Medicare claims, Mariam Totonchy (NPI: 1861839383) practices dermatology in the Seattle-Bellevue-Kent, WA market, with the plurality of this provider's patient population coming from King, WA. This provider's primary affiliated billing organization is SKIN SURGERY CENTER, P.S. (NPI: 1841371960; TIN: 911954101) and primary practice location at 98004-3814.

Totonchy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 699 traditional Medicare patients, billed 2,215 HCPCS/CPT codes, and received $646,688 in Medicare payments. The top billing code was 17313 (Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks). Part D data shows 641 prescription claims across 455 beneficiaries totaling $10,413 in drug costs, led by Acitretin (Acitretin). Open Payments data shows 7 records totaling $11,401. 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 $31,997 to $646,688. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $158,065 to $10,413. 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$323K$647K2017 Medicare payment: $31,997 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $54,850 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $77,153 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $451,946 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $568,411 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $589,899 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $558,878 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $646,688 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017159464$31,997
2018197706$54,850
201991281$77,153
20204121,621$451,946
20215101,895$568,411
20226052,332$589,899
20236091,983$558,878
20246992,215$646,688

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$79K$158K2015 Drug cost: $158,065 (USD; Tot_Drug_Cst)2016 Drug cost: $84,513 (USD; Tot_Drug_Cst)2017 Drug cost: $51,546 (USD; Tot_Drug_Cst)2018 Drug cost: $69,016 (USD; Tot_Drug_Cst)2019 Drug cost: $3,772 (USD; Tot_Drug_Cst)2020 Drug cost: $2,354 (USD; Tot_Drug_Cst)2021 Drug cost: $3,420 (USD; Tot_Drug_Cst)2022 Drug cost: $3,272 (USD; Tot_Drug_Cst)2023 Drug cost: $3,840 (USD; Tot_Drug_Cst)2024 Drug cost: $10,413 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201534134$158,065
20161743$84,513
201786176$51,546
2018111267$69,016
201976104$3,772
2020185302$2,354
2021235362$3,420
2022282402$3,272
2023285419$3,840
2024455641$10,413

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
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks8094$544
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks395454$522
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks172240$396
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm106108$224
88305Pathology examination of tissue using a microscope, intermediate complexity200310$32

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
AcitretinAcitretin14307$6,261
CephalexinCephalexin2992,018$1,731
MupirocinMupirocin922,179$698
Doxycycline HyclateDoxycycline Hyclate81564$675
Doxycycline MonohydrateDoxycycline Monohydrate36255$371

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.7$11,401Regeneron Healthcare Solutions, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mariam Totonchy?

Tedicare shows public-source Medicare data for Mariam Totonchy (NPI 1861839383), 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 Mariam Totonchy have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Mariam Totonchy?

Mariam Totonchy is linked to SKIN SURGERY CENTER, P.S. (billing NPI 1841371960) in the available physician profile data.

Does Mariam Totonchy have Open Payments data?

Mariam Totonchy has 7 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.