Physician
Toro, Jose
Toro, Jose was paid $197K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 99218, — 85% of everything it billed.
33Billing provider infoTORO, JOSE
AGUAS BUENAS, PR 00703
AGUAS BUENAS, PR 00703
33aNPI1427012608assigned 04/14/2006
33bProvider typeGeneral Practice Physician
28Total paid$197K
24GClaims22,824
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#116 of 1,195
Median peer was paid$2K
This provider vs. median96×
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 | 1,933 | $67K | |
| 2019 | 1,871 | $58K | |
| 2020 | 2,495 | $37K | |
| 2021 | 3,579 | $28K | |
| 2022 | 3,700 | $6K | |
| 2023 | 5,488 | $748.86 | |
| 2024incomplete | 3,758 | $272.54 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99218 | 85% | 3,478 | 3,014 | $167K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.4% | 2,009 | 1,731 | $14K |
| 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% | 2,102 | 1,746 | $5K |
| 99234 | 2.2% | 87 | 83 | $4K | |
| 99219 | 1.9% | 66 | 57 | $4K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 253 | 239 | $2K |
| 3078F | <1% | 1,455 | 1,246 | $40.01 | |
| 1159F | <1% | 2,020 | 1,718 | $0.01 | |
| 3725F | <1% | 1,984 | 1,684 | $0.01 | |
| 1160F | <1% | 2,020 | 1,718 | $0.01 | |
| 3008F | <1% | 1,988 | 1,692 | $0.01 | |
| 1170F | <1% | 1,966 | 1,666 | $0.01 |
8 more codes
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.