What is Vaishal Tolia's specialty?

Vaishal Tolia (NPI 1013198696) is a Medicare-billing provider whose primary specialty is Emergency Medicine in San Diego, CA.

Where does Vaishal Tolia practice?

Vaishal Tolia practices in San Diego, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1013198696.

How much does Medicare pay Vaishal Tolia?

Vaishal Tolia (NPI 1013198696) received approximately $74K in total Medicare Part B payments, serving 495 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1013198696

Vaishal ToliaM.D., M.P.H.

Emergency MedicineSan Diego, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

537

Unique beneficiaries

—

Total services

647

Distinct HCPCS

Medicare payment

$70K

Peer benchmark

Total Medicare services vs. 5,287 Emergency Medicine providers in CA — top quintile (cohort median 355).

PRESCRIBING · PART D · 2024

Total Rx claims

155

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

38.1%

Top prescribed drugs

Cefpodoxime Proxetil38 claims

Sulfamethoxazole/Trimethoprim23 claims

Nitrofurantoin Monohyd/M-Cryst21 claims

Amoxicillin19 claims

Ciprofloxacin Hcl16 claims

QUALITY · MIPS · 2024

Final MIPS score

90.8

Quality

84.1

Cost

73.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.66%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 050025

Hospital

REFERRAL NETWORK

Where Vaishal Tolia's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 9 inbound referrers · 46 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
REGENTS OF THE UNIVERSITY OF CALIFORNIA	157	702
William Ladd Diagnostic Radiology · San Diego, CA	21	49
RENNER, JOHN	18	44
Sharon Brouha Diagnostic Radiology · San Diego, CA	17	44
Unilab Corporation Clinical Laboratory · West Hills, CA	15	29
GHAHREMANI, GARY	12	27
Albert Hsiao Diagnostic Radiology · San Diego, CA	12	27
SHARP MEMORIAL HOSPITAL	11	21
Edward Smitaman Diagnostic Radiology · San Diego, CA	11	19

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
REGENTS OF THE UNIVERSITY OF CALIFORNIA	304	1,313
David Karow Diagnostic Radiology · Jacksonville, FL	65	124
William Ladd Diagnostic Radiology · San Diego, CA	52	104
RENNER, JOHN	49	95
AMERICAN MEDICAL RESPONSE OF SAN DIEGO, INC.	48	87
Andrew Yen Diagnostic Radiology · San Diego, CA	47	89
Sharon Brouha Diagnostic Radiology · San Diego, CA	39	70
Albert Hsiao Diagnostic Radiology · San Diego, CA	31	69
Julie Marek Bykowski Diagnostic Radiology · San Diego, CA	29	64
NPI 1437161577	29	48
Giovanna Casola Diagnostic Radiology · San Diego, CA	28	51
SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC	27	48

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events