Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1467446153assigned 09/08/2005
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

$0$10K$20K2018201920202021202220232024
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
20181,669$64K
20192,188$90K
20201,818$96K
20211,633$114K
20221,004$70K
2023615$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.