Physician
Hugo M Toro
Hugo M Toro was paid $10K by Medicaid between Jan 2018 and Jan 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.
33Billing provider infoHUGO M TORO
KATY, TX 77450
KATY, TX 77450
33aNPI1467638767assigned 01/16/2008
33bProvider typeInternal Medicine Physician
28Total paid$10K
24GClaims395
24DCodes billed5
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#519 of 1,028
Median peer was paid$10K
This provider vs. median1.0×
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 | 178 | $4K | |
| 2019 | 202 | $4K | |
| 2020 | 15 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 90% | 332 | 325 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 27 | 25 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 12 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialTORO, HUGO (DOCTOR)
Parent organizationHUGO M TORO, M.D.