Reyes, Toni

Reyes, Toni was paid $3K by Medicaid between Jan 2018 and Jul 2018, across 11 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 86% of everything it billed.

33Billing provider infoREYES, TONI
UPLAND, CA 91786

33aNPI1528456050assigned 01/06/2015

33bProvider typeFamily Nurse Practitioner

28Total paid$3K

24GClaims1,909

24DCodes billed11

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other Family Nurse Practitioner providers in California

Rank by total paid#86 of 201

Median peer was paid$1K

This provider vs. median2.2×

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	1,909	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	86%	844	723	$2K
99000		4.1%	293	276	$104.11
92551		3.9%	173	173	$98.26
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.1%	12	12	$54.28
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.7%	29	29	$43.41
99173		<1%	195	194	$22.80
85018		<1%	152	150	$20.50
81002		<1%	26	26	$6.39
90472	Immunization administration, each additional vaccine (list separately)	0%	13	13	$0.00
1000F		0%	90	87	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	82	80	$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.