Total Payments
$39,142
2022 Payments
$2,000
Companies
6
Transactions
49
Medicare Patients
655
Medicare Billing
$71,369
Payment Breakdown by Category
Other$29,425 (75.2%)
Consulting$3,800 (9.7%)
Research$2,314 (5.9%)
Travel$2,038 (5.2%)
Food & Beverage$1,565 (4.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Honoraria | $29,425 | 14 | 75.2% |
| Consulting Fee | $3,800 | 2 | 9.7% |
| Unspecified | $2,314 | 2 | 5.9% |
| Travel and Lodging | $2,038 | 10 | 5.2% |
| Food and Beverage | $1,565 | 21 | 4.0% |
Payments by Type
General
$36,827
47 transactions
Research
$2,314
2 transactions
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Vericel Corporation | $38,711 | 44 | $0 (2022) |
| DJO, LLC | $138.28 | 1 | $0 (2017) |
| Medical Device Business Services, Inc. | $106.79 | 1 | $0 (2017) |
| Trice Medical, Inc. | $99.03 | 1 | $0 (2018) |
| Flexion Therapeutics, Inc. | $71.47 | 1 | $0 (2018) |
| Smith+Nephew, Inc. | $15.05 | 1 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2022 | $2,000 | 1 | Vericel Corporation ($2,000) |
| 2021 | $1,323 | 2 | Vericel Corporation ($1,323) |
| 2020 | $3,111 | 3 | Vericel Corporation ($3,111) |
| 2019 | $10,196 | 12 | Vericel Corporation ($10,181) |
| 2018 | $10,102 | 9 | Vericel Corporation ($9,931) |
| 2017 | $12,410 | 22 | Vericel Corporation ($12,165) |
All Payment Transactions
49 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 07/07/2022 | Vericel Corporation | MACI (Biological) | Consulting Fee | Cash or cash equivalent | $2,000.00 | General |
| Category: Orthopedics | ||||||
| 03/18/2021 | Vericel Corporation | MACI (Biological) | Honoraria | Cash or cash equivalent | $1,200.00 | General |
| Category: Cellular Therapy | ||||||
| 02/24/2021 | Vericel Corporation | MACI (Biological) | Food and Beverage | In-kind items and services | $122.90 | General |
| Category: Cellular Therapy | ||||||
| 05/05/2020 | Vericel Corporation | — | Consulting Fee | Cash or cash equivalent | $1,800.00 | General |
| 02/13/2020 | Vericel Corporation | MACI (Biological) | Honoraria | Cash or cash equivalent | $1,200.00 | General |
| Category: Cellular Therapy | ||||||
| 01/29/2020 | Vericel Corporation | MACI (Biological) | Food and Beverage | In-kind items and services | $111.46 | General |
| Category: Cellular Therapy | ||||||
| 10/29/2019 | Vericel Corporation | MACI (Biological) | Honoraria | Cash or cash equivalent | $2,000.00 | General |
| Category: Cellular Therapy | ||||||
| 10/29/2019 | Vericel Corporation | MACI (Biological) | Travel and Lodging | In-kind items and services | $197.20 | General |
| Category: Cellular Therapy | ||||||
| 10/29/2019 | Vericel Corporation | MACI (Biological) | Travel and Lodging | In-kind items and services | $14.50 | General |
| Category: Cellular Therapy | ||||||
| 08/22/2019 | Vericel Corporation | MACI (Biological) | Honoraria | Cash or cash equivalent | $3,000.00 | General |
| Category: Cellular Therapy | ||||||
| 08/08/2019 | Vericel Corporation | MACI (Biological) | Travel and Lodging | In-kind items and services | $566.55 | General |
| Category: Cellular Therapy | ||||||
| 08/08/2019 | Vericel Corporation | MACI (Biological) | Travel and Lodging | In-kind items and services | $15.00 | General |
| Category: Cellular Therapy | ||||||
| 05/10/2019 | Smith+Nephew, Inc. | META TAN (Device) | Food and Beverage | In-kind items and services | $15.05 | General |
| Category: Trauma Plates, Screws, and Nails | ||||||
| 04/23/2019 | Vericel Corporation | MACI (Biological) | Honoraria | Cash or cash equivalent | $1,100.00 | General |
| Category: Cellular Therapy | ||||||
| 04/03/2019 | Vericel Corporation | MACI (Biological) | Food and Beverage | In-kind items and services | $125.00 | General |
| Category: Cellular Therapy | ||||||
| 03/14/2019 | Vericel Corporation | MACI (Biological) | Honoraria | Cash or cash equivalent | $2,200.00 | General |
| Category: Cellular Therapy | ||||||
| 03/14/2019 | Vericel Corporation | MACI (Biological) | Food and Beverage | In-kind items and services | $137.39 | General |
| Category: Cellular Therapy | ||||||
| 01/22/2019 | Vericel Corporation | MACI (Biological) | Honoraria | Cash or cash equivalent | $825.00 | General |
| Category: Cellular Therapy | ||||||
| 11/15/2018 | Flexion Therapeutics, Inc. | Zilretta (Drug) | Food and Beverage | Cash or cash equivalent | $71.47 | General |
| Category: Musculoskeletal | ||||||
| 10/18/2018 | Vericel Corporation | MACI _ PEAK Study (Drug) | Honoraria | Cash or cash equivalent | $825.00 | General |
| Category: Approved Product being studied for pediatric use | ||||||
| 08/20/2018 | Vericel Corporation | MACI _ PEAK Study (Drug) | Honoraria | Cash or cash equivalent | $3,300.00 | General |
| Category: Approved Product being studied for pediatric use | ||||||
| 08/10/2018 | Vericel Corporation | MACI _ PEAK Study (Drug) | Honoraria | Cash or cash equivalent | $3,300.00 | General |
| Category: Approved Product being studied for pediatric use | ||||||
| 06/13/2018 | Vericel Corporation | MACI _ PEAK Study (Drug) | Food and Beverage | In-kind items and services | $124.99 | General |
| Category: Approved Product being studied for pediatric use | ||||||
| 05/30/2018 | Trice Medical, Inc. | mi-eye (Device) | Food and Beverage | Cash or cash equivalent | $99.03 | General |
| Category: in-office visualization | ||||||
| 03/28/2018 | Vericel Corporation | MACI _ PEAK Study (Drug) | — | Cash or cash equivalent | $2,200.00 | Research |
| Study: A Study of MACI in Patients Aged 10 to <17 Years With Symptomatic Chondral or Osteochondral Defects of the Knee (PEAK) • Category: Approved Product being studied for pediatric use | ||||||
Research Studies & Clinical Trials
| Study Name | Company | Amount | Records |
|---|---|---|---|
| A Study of MACI in Patients Aged 10 to <17 Years With Symptomatic Chondral or Osteochondral Defects of the Knee (PEAK) | Vericel Corporation | $2,314 | 2 |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 149 | 184 | $73,373 | $15,907 |
| 2022 | 4 | 150 | 194 | $73,361 | $17,597 |
| 2021 | 3 | 179 | 246 | $57,733 | $19,392 |
| 2020 | 4 | 177 | 234 | $84,230 | $18,473 |
Total Patients
655
Total Services
858
Medicare Billing
$71,369
Procedure Codes
15
All Medicare Procedures & Services
15 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 59 | 64 | $16,320 | $4,749 | 29.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 51 | 81 | $13,932 | $4,731 | 34.0% |
| 23430 | Anchoring of biceps tendon | Office | 2023 | 13 | 13 | $32,981 | $3,656 | 11.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 26 | 26 | $10,140 | $2,771 | 27.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 63 | 69 | $17,595 | $5,634 | 32.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 48 | 86 | $14,792 | $5,094 | 34.4% |
| 23430 | Anchoring of biceps tendon | Office | 2022 | 12 | 12 | $30,444 | $3,695 | 12.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 27 | 27 | $10,530 | $3,174 | 30.1% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 88 | 107 | $27,285 | $9,615 | 35.2% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 61 | 109 | $18,748 | $6,633 | 35.4% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 30 | 30 | $11,700 | $3,144 | 26.9% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 72 | 123 | $21,156 | $5,920 | 28.0% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 56 | 62 | $15,810 | $4,696 | 29.7% |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | Office | 2020 | 35 | 35 | $13,650 | $4,109 | 30.1% |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | Office | 2020 | 14 | 14 | $33,614 | $3,748 | 11.2% |
About Dr. Alison Toth, MD
Dr. Alison Toth, MD is a Orthopaedic Surgery healthcare provider based in Durham, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/08/2006. The National Provider Identifier (NPI) number assigned to this provider is 1982644720.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Alison Toth, MD has received a total of $39,142 in payments from pharmaceutical and medical device companies, with $2,000 received in 2022. These payments were reported across 49 transactions from 6 companies. The most common payment nature is "Honoraria" ($29,425).
As a Medicare-enrolled provider, Toth has provided services to 655 Medicare beneficiaries, totaling 858 services with total Medicare billing of $71,369. Data is available for 4 years (2020–2023), covering 15 distinct procedure/service records.
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Practice Information
- Specialty Orthopaedic Surgery
- Location Durham, NC
- Active Since 06/08/2006
- Last Updated 07/08/2007
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1982644720
Products in Payments
- MACI (Biological) $14,815
- MACI (Drug) $12,165
- MACI _ PEAK Study (Drug) $9,931
- GRYPHON (Device) $106.79
- mi-eye (Device) $99.03
- Zilretta (Drug) $71.47
- META TAN (Device) $15.05
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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