Physician
Toerne, Lisa
Toerne, Lisa was paid $484K by Medicaid between Jan 2018 and Aug 2023, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 52% of everything it billed.
33Billing provider infoTOERNE, LISA
HAMMOND, IN 46320
HAMMOND, IN 46320
33aNPI1467446153assigned 09/08/2005
33bProvider typeEmergency Medicine Physician
28Total paid$484K
24GClaims8,927
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Emergency Medicine Physician providers in Indiana
Rank by total paid#54 of 191
Median peer was paid$126K
This provider vs. median3.8×
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 | 1,669 | $64K | |
| 2019 | 2,188 | $90K | |
| 2020 | 1,818 | $96K | |
| 2021 | 1,633 | $114K | |
| 2022 | 1,004 | $70K | |
| 2023 | 615 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 52% | 3,566 | 3,208 | $253K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 2,739 | 2,447 | $143K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 2,384 | 2,115 | $79K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.9% | 95 | 83 | $9K |
| 93042 | <1% | 143 | 128 | $40.20 |
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.