Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Toledo, Charles

Toledo, Charles was paid $2K by Medicaid between Nov 2018 and Jan 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoTOLEDO, CHARLES
COOS BAY, OR 97420
33aNPI1427103472assigned 01/23/2007
33bProvider typePediatrics Physician
28Total paid$2K
24GClaims232
24DCodes billed3
24AFirst – last monthNov 2018 – Jan 2019
Compared with peers

Next to other Pediatrics Physician providers in Oregon

Rank by total paid#80 of 87
Median peer was paid$147K
This provider vs. median0.0×

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$500$1.0K$1.5K2018201920202021202220232024
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
2018212$2K
201920$250.80
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 75% 204 188 $1K
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 25% 12 12 $486.40
94760 0% 16 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.