Toce, Michael

Toce, Michael was paid $49K by Medicaid between Aug 2019 and Mar 2023, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 70% of everything it billed.

33Billing provider infoTOCE, MICHAEL
BOSTON, MA 02115

33aNPI1376818591assigned 03/21/2012

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$49K

24GClaims601

24DCodes billed2

24AFirst – last monthAug 2019 – Mar 2023

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Massachusetts

Rank by total paid#10 of 38

Median peer was paid$13K

This provider vs. median3.9×

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
2019	59	$5K
2020	51	$4K
2021	143	$10K
2022	293	$26K
2023	55	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	70%	340	339	$34K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	30%	261	259	$14K

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.