Toro, Nannette
Toro, Nannette was paid $795K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 36% of everything it billed.
33Billing provider infoTORO, NANNETTE
PONCE, PR 00716
PONCE, PR 00716
33aNPI1447392857assigned 02/13/2007
33bProvider typeSpecialist
28Total paid$795K
24GClaims18,119
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#30 of 316
Median peer was paid$26K
This provider vs. median31×
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 | 1,739 | $50K | |
| 2019 | 4,284 | $102K | |
| 2020 | 2,332 | $79K | |
| 2021 | 2,240 | $126K | |
| 2022 | 3,092 | $152K | |
| 2023 | 2,751 | $171K | |
| 2024incomplete | 1,681 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 36% | 4,723 | 4,379 | $283K |
| 99221 | 27% | 4,909 | 4,540 | $215K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 20% | 4,906 | 4,536 | $157K |
| 99241 | 13% | 2,536 | 2,402 | $103K | |
| 99242 | 4.6% | 974 | 882 | $37K | |
| 93000 | <1% | 55 | 55 | $861.25 | |
| 97597 | <1% | 16 | 16 | $360.01 |
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.