Tolbert, Gerald

Tolbert, Gerald was paid $59K by Medicaid between Jan 2018 and Aug 2019, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 65% of everything it billed.

33Billing provider infoTOLBERT, GERALD
LA JOLLA, CA 92037

33aNPI1205079522assigned 04/16/2009

33bProvider typeEmergency Medicine Physician

28Total paid$59K

24GClaims1,229

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#421 of 988

Median peer was paid$32K

This provider vs. median1.9×

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	713	$34K
2019	516	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	65%	736	685	$38K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	24%	353	332	$14K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	6.4%	48	43	$4K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.9%	92	65	$3K

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.