Tumolo, John

Tumolo, John was paid $141K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoTUMOLO, JOHN
SOUTHBRIDGE, MA 01550

33aNPI1720089063assigned 08/09/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$141K

24GClaims6,724

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Massachusetts

Rank by total paid#17 of 321

Median peer was paid$2K

This provider vs. median86×

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	1,327	$31K
2019	1,116	$22K
2020	816	$18K
2021	832	$19K
2022	718	$17K
2023	1,379	$19K
2024incomplete	536	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	46%	1,735	1,686	$64K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	32%	1,697	1,689	$45K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.5%	304	303	$9K
93000		6.1%	1,438	1,424	$9K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	6.0%	1,455	1,307	$8K
99222	Initial hospital care, per day, moderate complexity	1.9%	56	53	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.3%	27	26	$2K
93296		<1%	12	12	$73.19

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.