Total Payments
$26,095
2024 Payments
$11,401
Companies
6
Transactions
25
Medicare Patients
5,506
Medicare Billing
$2.0M

Payment Breakdown by Category

Other$23,118 (88.6%)
Travel$1,792 (6.9%)
Food & Beverage$1,185 (4.5%)

Payments by Nature

Nature of Payment Amount Transactions Share
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $23,118 8 88.6%
Travel and Lodging $1,792 4 6.9%
Food and Beverage $1,185 13 4.5%

Top Paying Companies

Company Total Records Latest Year
Regeneron Healthcare Solutions, Inc. $25,663 20 $0 (2024)
Galderma Laboratories, L.P. $137.11 1 $0 (2022)
Allergan Inc. $121.28 1 $0 (2018)
Kerecis Limited $120.70 1 $0 (2021)
Mylan Pharmaceuticals Inc. $28.31 1 $0 (2017)
ABBVIE INC. $25.02 1 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $11,401 7 Regeneron Healthcare Solutions, Inc. ($11,376)
2023 $9,942 7 Regeneron Healthcare Solutions, Inc. ($9,942)
2022 $4,384 7 Regeneron Healthcare Solutions, Inc. ($4,247)
2021 $120.70 1 Kerecis Limited ($120.70)
2018 $121.28 1 Allergan Inc. ($121.28)
2017 $126.09 2 Regeneron Healthcare Solutions, Inc. ($97.78)

All Payment Transactions

25 individual payment records from CMS Open Payments

Date Company Product Nature Form Amount Type
12/10/2024 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $5,100.00 General
Category: ONCOLOGY
12/10/2024 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Travel and Lodging In-kind items and services $47.84 General
Category: ONCOLOGY
10/16/2024 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Food and Beverage In-kind items and services $125.00 General
Category: ONCOLOGY
06/13/2024 ABBVIE INC. Food and Beverage In-kind items and services $25.02 General
04/10/2024 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Travel and Lodging In-kind items and services $878.75 General
Category: ONCOLOGY
04/09/2024 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $5,100.00 General
Category: ONCOLOGY
04/05/2024 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Food and Beverage In-kind items and services $124.64 General
Category: ONCOLOGY
12/12/2023 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $2,951.00 General
Category: ONCOLOGY
12/08/2023 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Food and Beverage In-kind items and services $71.89 General
Category: ONCOLOGY
12/05/2023 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $4,215.00 General
Category: ONCOLOGY
12/04/2023 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Travel and Lodging In-kind items and services $857.56 General
Category: ONCOLOGY
12/02/2023 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Food and Beverage In-kind items and services $103.94 General
Category: ONCOLOGY
10/19/2023 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $1,264.50 General
Category: ONCOLOGY
06/08/2023 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $478.00 General
Category: ONCOLOGY
12/22/2022 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Travel and Lodging In-kind items and services $8.00 General
Category: ONCOLOGY
11/15/2022 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $2,951.00 General
Category: ONCOLOGY
11/08/2022 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Food and Beverage In-kind items and services $125.00 General
Category: ONCOLOGY
10/08/2022 Galderma Laboratories, L.P. Food and Beverage In-kind items and services $137.11 General
10/08/2022 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Food and Beverage In-kind items and services $41.22 General
Category: ONCOLOGY
10/06/2022 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $1,058.00 General
Category: ONCOLOGY
04/26/2022 Regeneron Healthcare Solutions, Inc. LIBTAYO (Biological) Food and Beverage In-kind items and services $63.44 General
Category: ONCOLOGY
12/01/2021 Kerecis Limited Kerecis Omega3 Wound (Device), Kerecis Omega3 Surgibind, Kerecis Omega3 GraftGuide Food and Beverage Cash or cash equivalent $120.70 General
Category: Wound Care
10/12/2018 Allergan Inc. BOTOX COSMETIC Food and Beverage In-kind items and services $121.28 General
09/07/2017 Regeneron Healthcare Solutions, Inc. DUPIXENT DUPILUMAB INJECTION (Biological) Food and Beverage In-kind items and services $97.78 General
Category: INFLAMMATION AND IMMUNOLOGY
03/21/2017 Mylan Pharmaceuticals Inc. Olux (Drug) Food and Beverage In-kind items and services $28.31 General
Category: Dermatology

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 25 1,365 1,672 $2.4M $488,346
2022 32 1,637 2,118 $2.8M $545,524
2021 28 1,341 1,607 $1.9M $512,600
2020 23 1,163 1,426 $1.2M $422,295
Total Patients
5,506
Total Services
6,823
Medicare Billing
$2.0M
Procedure Codes
116

All Medicare Procedures & Services

116 procedure records from CMS Medicare Utilization — Page 1 of 5

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks Office 2023 347 417 $977,865 $221,757 22.7%
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks Office 2023 156 235 $336,024 $87,328 26.0%
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks Office 2023 87 117 $258,219 $59,373 23.0%
15260 Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less Facility 2023 30 31 $105,276 $22,179 21.1%
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm Facility 2023 22 22 $68,904 $14,270 20.7%
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm Facility 2023 84 88 $146,168 $10,961 7.5%
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks Office 2023 24 28 $38,528 $10,143 26.3%
13121 Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm Facility 2023 72 81 $122,472 $9,543 7.8%
88305 Pathology examination of tissue using a microscope, intermediate complexity Office 2023 160 229 $55,699 $6,692 12.0%
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm Office 2023 29 29 $48,169 $6,405 13.3%
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less Facility 2023 19 19 $49,020 $5,174 10.6%
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm Office 2023 21 21 $20,412 $4,791 23.5%
13121 Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm Office 2023 22 22 $33,264 $4,649 14.0%
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm Facility 2023 37 39 $42,120 $3,582 8.5%
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm Office 2023 15 16 $13,776 $2,882 20.9%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 32 34 $10,413 $2,611 25.1%
11102 Biopsy of related skin growth, first growth Office 2023 32 41 $15,129 $2,424 16.0%
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm Office 2023 17 18 $11,178 $2,115 18.9%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 23 23 $8,625 $1,879 21.8%
11104 Punch biopsy, first skin growth Office 2023 19 20 $9,220 $1,784 19.4%
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm Facility 2023 12 12 $20,952 $1,729 8.3%
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm Facility 2023 14 14 $20,818 $1,677 8.1%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2023 27 33 $6,303 $1,453 23.1%
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less Facility 2023 15 16 $7,136 $1,117 15.7%
11103 Biopsy of related skin growth, each additional growth Office 2023 15 22 $4,092 $953.67 23.3%

About Mariam Totonchy

Mariam Totonchy is a Student in an Organized Health Care Education/Training Program healthcare provider based in New Haven, Connecticut. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/23/2013. The National Provider Identifier (NPI) number assigned to this provider is 1861839383.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Mariam Totonchy has received a total of $26,095 in payments from pharmaceutical and medical device companies, with $11,401 received in 2024. These payments were reported across 25 transactions from 6 companies. The most common payment nature is "Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program" ($23,118).

As a Medicare-enrolled provider, Totonchy has provided services to 5,506 Medicare beneficiaries, totaling 6,823 services with total Medicare billing of $2.0M. Data is available for 4 years (2020–2023), covering 116 distinct procedure/service records.

Practice Information

Products in Payments

  • LIBTAYO (Biological) $25,565
  • Kerecis Omega3 Wound (Device) $120.70
  • DUPIXENT DUPILUMAB INJECTION (Biological) $97.78
  • Olux (Drug) $28.31

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.

Student in an Organized Health Care Education/Training Program Doctors in New Haven