Rosa Toledo, Luis

Rosa Toledo, Luis was paid $2K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoROSA TOLEDO, LUIS
MANATI, PR 00674

33aNPI1477590792assigned 06/02/2006

33bProvider typeFamily Medicine Physician

28Total paid$2K

24GClaims2,842

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Puerto Rico

Rank by total paid#72 of 160

Median peer was paid$1K

This provider vs. median1.8×

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	208	$1K
2019	450	$20.48
2020	341	$216.58
2021	489	$374.43
2022	476	$0.00
2023	364	$0.00
2024incomplete	514	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	77%	1,863	1,647	$2K
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	12%	892	803	$237.06
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	4.8%	19	13	$97.36
3078F		3.1%	17	13	$62.72
3074F		3.1%	17	13	$62.72
1159F		0%	15	13	$0.00
3008F		0%	19	15	$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.