Physician

Nicholas H. Tosi, MD

According to 2025 Medicare claims, Nicholas Tosi, MD (NPI: 1891924650) practices ophthalmology in the Milwaukee-Waukesha, WI market, with the plurality of this provider's patient population coming from Milwaukee, WI. This provider's primary affiliated billing organization is RETINA & VITREOUS CONSULTANTS OF WI, LTD. (NPI: 1114044435; TIN: 391439215) and primary practice location at 53220-4136.

Tosi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,111 traditional Medicare patients, billed 76,716 HCPCS/CPT codes, and received $5,098,038 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 1,460 prescription claims across 398 beneficiaries totaling $66,542 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). 2017 DME data shows 13 claims. Open Payments data shows 7 records totaling $677. 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 $890,779 to $5,098,038. Similarly, Part D prescription costs have moved sharply higher in recent years, from $14,391 to $66,542. 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.

Year	Patients	Clm Lines	Payment
2015	933	5,561	$890,779
2016	1,088	15,285	$2,871,300
2017	1,137	17,154	$3,303,087
2018	1,189	18,414	$3,470,046
2019	1,056	18,934	$3,699,549
2020	1,003	17,258	$3,726,883
2021	1,162	20,733	$4,328,269
2022	1,374	24,773	$5,321,670
2023	1,262	42,378	$4,955,688
2024	1,111	76,716	$5,098,038

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	150	430	$14,391
2016	257	1,017	$37,167
2017	284	1,215	$41,989
2018	313	1,625	$48,408
2019	324	1,724	$55,280
2020	314	1,676	$64,814
2021	334	1,431	$52,765
2022	430	2,107	$107,841
2023	401	1,790	$102,294
2024	398	1,460	$66,542

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	12	13	$7,141
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
J0178	Injection, aflibercept, 1 mg	305	3,778	$654
67028	Injection of drug into eye	630	3,705	$95
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	870	1,333	$90
J9035	Injection, bevacizumab, 10 mg	307	1,483	$55
92134	Imaging of retina	1,059	4,341	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	469	20,937	$21,944
Prolensa	Bromfenac Sodium	48	2,707	$18,578
Bromfenac Sodium	Bromfenac Sodium	28	1,248	$5,793
Ketorolac Tromethamine	Ketorolac Tromethamine	151	5,874	$4,378
Latanoprost	Latanoprost	289	16,384	$2,590

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$677	Alcon Vision LLC
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 Nicholas H. Tosi, MD?

Tedicare shows public-source Medicare data for Nicholas H. Tosi, MD (NPI 1891924650), 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 Nicholas H. Tosi, MD have ACO affiliation data?

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

What billing organization is linked to Nicholas H. Tosi, MD?

Nicholas H. Tosi, MD is linked to RETINA & VITREOUS CONSULTANTS OF WI, LTD. (billing NPI 1114044435) in the available physician profile data.

Does Nicholas H. Tosi, MD have Open Payments data?

Nicholas H. Tosi, MD 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.