Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Toledo Health, LLC

Toledo Health, LLC was paid $280K by Medicaid between Oct 2019 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoTOLEDO HEALTH, LLC
MANY, LA 71449
33aNPI1245709658assigned 11/14/2018
28Total paid$280K
24GClaims13,001
24DCodes billed14
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Louisiana

Rank by total paid#45 of 254
Median peer was paid$4K
This provider vs. median75×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2019148$3K
20201,302$28K
20212,755$48K
20223,254$64K
20233,497$78K
2024incomplete2,045$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 4,281 3,659 $112K
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 35% 2,419 2,065 $98K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8.3% 1,396 1,182 $23K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.4% 455 405 $18K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 6.0% 219 187 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.1% 1,557 1,131 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 84 71 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 70 61 $2K
36415 Collection of venous blood by venipuncture <1% 1,224 1,122 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 37 28 $2K
81003 <1% 407 310 $462.17
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 306 259 $427.00
2 more codes
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 505 $198.84
81025 <1% 41 $170.99

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.

From NPPES

Who's on the registration

Authorized officialVINES, MELISSA (MANAGER/FNP)