Physician
Rodriguez-Toledo, Johanna
Rodriguez-Toledo, Johanna was paid $1.42M by Medicaid between Jan 2018 and May 2023, across 44 billing codes. Its largest line is 96156, — 35% of everything it billed.
33Billing provider infoRODRIGUEZ-TOLEDO, JOHANNA
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1447454137assigned 06/14/2007
33bProvider typePediatrics Physician
28Total paid$1.42M
24GClaims44,667
24DCodes billed44
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#95 of 1,490
Median peer was paid$15K
This provider vs. median94×
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 | 6,444 | $97K | |
| 2019 | 6,624 | $119K | |
| 2020 | 8,620 | $278K | |
| 2021 | 9,253 | $354K | |
| 2022 | 13,222 | $542K | |
| 2023 | 504 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 35% | 4,852 | 4,846 | $490K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 19% | 4,446 | 4,430 | $275K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 4,179 | 3,980 | $175K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 3,082 | 2,933 | $142K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 923 | 901 | $51K |
| 99460 | 3.3% | 601 | 598 | $47K | |
| 90670 | 1.9% | 2,808 | 2,710 | $26K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 5,154 | 4,718 | $26K |
| 92551 | 1.6% | 1,795 | 1,729 | $23K | |
| 90698 | 1.5% | 2,339 | 2,305 | $21K | |
| 90744 | 1.4% | 2,215 | 2,132 | $19K | |
| 90680 | 1.2% | 1,959 | 1,896 | $17K |
32 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.1% | 2,193 | $15K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 326 | $15K |
| 90655 | <1% | 1,454 | $13K | |
| 99381 | <1% | 256 | $13K | |
| 90633 | <1% | 1,262 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 139 | $10K |
| 90716 | <1% | 652 | $6K | |
| 90707 | <1% | 629 | $5K | |
| 90700 | <1% | 397 | $3K | |
| 96151 | <1% | 232 | $2K | |
| 90660 | <1% | 236 | $2K | |
| 99384 | <1% | 35 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 74 | $1K |
| 87430 | <1% | 90 | $1K | |
| 90658 | <1% | 158 | $1K | |
| 90696 | <1% | 141 | $1K | |
| 90710 | <1% | 116 | $1K | |
| 99173 | <1% | 733 | $394.00 | |
| 90674 | <1% | 40 | $252.00 | |
| 85999 | <1% | 60 | $180.60 | |
| 90651 | <1% | 13 | $117.00 | |
| 90681 | <1% | 13 | $117.00 | |
| 90671 | <1% | 12 | $108.00 | |
| 94760 | <1% | 100 | $72.14 | |
| 85018 | <1% | 15 | $31.22 | |
| 87400 | <1% | 145 | $25.00 | |
| 87807 | <1% | 15 | $18.52 | |
| 96150 | <1% | 65 | $18.03 | |
| 92499 | 0% | 123 | $0.00 | |
| 99172 | 0% | 533 | $0.00 | |
| 0072A | 0% | 22 | $0.00 | |
| 0071A | 0% | 35 | $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.