Physician
Paul A. Tomcykoski DO PC
Paul A. Tomcykoski DO PC was paid $54K by Medicaid between May 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoPAUL A. TOMCYKOSKI DO PC
JESSUP, PA 18434
JESSUP, PA 18434
33aNPI1205004207assigned 02/13/2008
33bProvider typePediatrics Physician
28Total paid$54K
24GClaims1,644
24DCodes billed8
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#591 of 1,257
Median peer was paid$45K
This provider vs. median1.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17 | $147.14 | |
| 2020 | 73 | $2K | |
| 2021 | 398 | $13K | |
| 2022 | 415 | $13K | |
| 2023 | 353 | $11K | |
| 2024incomplete | 388 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 1,186 | 1,114 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 127 | 124 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 82 | 82 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 61 | 55 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 58 | 56 | $633.05 |
| 90688 | <1% | 39 | 26 | $247.84 | |
| 90686 | <1% | 77 | 69 | $50.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14 | 14 | $40.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTOMCYKOSKI, PAUL (PHYSICIAN)