Tolosa, Drago

Tolosa, Drago was paid $76K by Medicaid between Jan 2018 and Nov 2020, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 91% of everything it billed.

33Billing provider infoTOLOSA, DRAGO
CHATTANOOGA, TN 37403

33aNPI1063446268assigned 07/11/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$76K

24GClaims702

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Tennessee

Rank by total paid#7 of 13

Median peer was paid$76K

This provider vs. median1.0×

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	219	$23K
2019	275	$32K
2020	208	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	91%	623	589	$69K
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	4.7%	49	49	$4K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	3.9%	15	12	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	15	15	$699.09

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.