Physician
Aldana, Tirso
Aldana, Tirso was paid $86K by Medicaid between Jan 2018 and May 2020, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 47% of everything it billed.
33Billing provider infoALDANA, TIRSO
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
33aNPI1356305684assigned 04/13/2006
33bProvider typeInternal Medicine Physician
28Total paid$86K
24GClaims1,300
24DCodes billed3
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Internal Medicine Physician providers in Missouri
Rank by total paid#76 of 364
Median peer was paid$10K
This provider vs. median8.4×
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 | 681 | $48K | |
| 2019 | 545 | $34K | |
| 2020 | 74 | $4K |
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 | 47% | 398 | 391 | $40K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 28% | 362 | 355 | $24K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 25% | 540 | 535 | $21K |
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.