Dr. Bryan Toma, MD
What this data tells you about Dr. Toma
Dr. Bryan Toma is an anesthesiology specialist in Royal Oak, MI, with 9 years of NPI registration. Based on federal Medicare data, Dr. Toma performed 1,339 Medicare services across 723 unique beneficiaries.
Between the years covered by Open Payments, Dr. Toma received a total of $20,720 from 16 pharmaceutical and/or device companies across 174 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Toma is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
401 | $0 | $10 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
249 | $98 | $397 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
125 | $130 | $524 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
100 | $9 | $100 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
78 | $202 | $821 |
| Contrast dye for imaging, lower concentration | 40 | $0 | $10 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
35 | $239 | $1,118 |
| Anesthesia for large bowel endoscopy Administration of anesthesia during a procedure to examine the large bowel using an endoscope. |
32 | $49 | $820 |
| Anesthesia for closed hip joint procedure Administration of anesthesia during a closed surgical procedure on the hip joint. |
29 | $41 | $698 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
27 | $185 | $896 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
26 | $97 | $462 |
| Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter | 23 | $59 | $400 |
| Anesthesia for endoscopic procedure on esophagus, stomach, or upper small bowel Administration of anesthesia during an endoscopic procedure involving the esophagus, stomach, or upper small bowel. |
21 | $52 | $857 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
20 | $205 | $833 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
20 | $95 | $392 |
| Other procedure on nervous system A surgical or medical intervention performed on the nervous system that does not fall under other specific categories. |
20 | $22 | $440 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
18 | $258 | $1,290 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
16 | $487 | $2,462 |
| New patient office visit, complex (60-74 min) | 16 | $172 | $693 |
| Anesthesia for bowel endoscopy Administration of anesthesia during a procedure to examine the small and large bowel using an endoscope. |
15 | $56 | $983 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
15 | $25 | $500 |
| Femoral nerve injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the femoral nerve in the thigh. This procedure delivers medication directly to the nerve. |
13 | $39 | $200 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
All-time payments by company (2019-2024) ›
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for anesthesiology in MI.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Toma is a clinical cardiology specialist, with above-average Medicare volume (top 4% in MI), with low-engagement industry engagement in the top 2% of MI peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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