Tolia, Jitendra

Tolia, Jitendra was paid $33K by Medicaid between Jul 2019 and Jul 2024, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 52% of everything it billed.

33Billing provider infoTOLIA, JITENDRA
EAST ELMHURST, NY 11370

33aNPI1407974199assigned 03/27/2007

33bProvider typePulmonary Disease Physician

28Total paid$33K

24GClaims4,317

24DCodes billed8

24AFirst – last monthJul 2019 – Jul 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#124 of 413

Median peer was paid$8K

This provider vs. median4.2×

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	255	$4K
2020	264	$3K
2021	919	$11K
2022	1,051	$10K
2023	1,174	$3K
2024incomplete	654	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	52%	1,662	1,524	$17K
99307		38%	2,202	1,193	$13K
99308	Subsequent nursing facility care, per day, straightforward	5.2%	283	223	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.8%	67	51	$935.48
99306	Prolong nursin fac eval 15m	<1%	19	19	$299.35
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	56	24	$153.30
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	13	13	$126.87
99310	Prolong nursin fac eval 15m	0%	15	15	$0.00

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.