Physician
Torcato, Brian
Torcato, Brian was paid $230K by Medicaid between Oct 2018 and Jul 2022, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoTORCATO, BRIAN
PHILADELPHIA, PA 19120
PHILADELPHIA, PA 19120
33aNPI1437103694assigned 05/20/2006
33bProvider typePediatrics Physician
28Total paid$230K
24GClaims6,007
24DCodes billed26
24AFirst – last monthOct 2018 – Jul 2022
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#320 of 1,257
Median peer was paid$45K
This provider vs. median5.1×
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 | 13 | $734.56 | |
| 2020 | 2,313 | $87K | |
| 2021 | 3,250 | $129K | |
| 2022 | 431 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 1,782 | 1,499 | $110K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 350 | 341 | $37K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 210 | 205 | $21K |
| S9451 | Exercise classes, non-physician provider, per session | 6.7% | 613 | 597 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 109 | 108 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 58 | 53 | $6K |
| 90686 | 2.2% | 433 | 425 | $5K | |
| 92551 | 2.1% | 487 | 480 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 425 | 383 | $4K |
| 99401 | 1.4% | 603 | 586 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 73 | 72 | $3K |
| 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 | <1% | 15 | 13 | $1K |
14 more codes
| 0001A | <1% | 33 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 0071A | <1% | 27 | $1K | |
| 0002A | <1% | 25 | $1K | |
| 90670 | <1% | 59 | $584.00 | |
| 90648 | <1% | 57 | $544.00 | |
| 99173 | <1% | 519 | $537.00 | |
| 0072A | <1% | 12 | $480.00 | |
| 90633 | <1% | 25 | $250.00 | |
| 90700 | <1% | 15 | $147.00 | |
| 90707 | <1% | 16 | $147.00 | |
| 90716 | <1% | 16 | $137.00 | |
| 86580 | <1% | 12 | $95.54 | |
| 91307 | 0% | 16 | $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.