Physician
Parag, Toral
Parag, Toral was paid $35K by Medicaid between Jan 2018 and Jan 2023, across 24 billing codes. Its largest line is 96156, — 58% of everything it billed.
33Billing provider infoPARAG, TORAL
SAN CLEMENTE, CA 92673
SAN CLEMENTE, CA 92673
33aNPI1538209119assigned 02/06/2007
33bProvider typePediatrics Physician
28Total paid$35K
24GClaims2,652
24DCodes billed24
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#639 of 1,490
Median peer was paid$15K
This provider vs. median2.3×
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 | 791 | $4K | |
| 2019 | 634 | $7K | |
| 2020 | 167 | $3K | |
| 2021 | 450 | $8K | |
| 2022 | 597 | $12K | |
| 2023 | 13 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 58% | 224 | 205 | $20K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 174 | 137 | $3K |
| 92552 | 6.9% | 119 | 117 | $2K | |
| 96150 | 6.8% | 102 | 99 | $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 | 4.7% | 105 | 85 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 83 | 81 | $1K |
| 90686 | 3.0% | 116 | 116 | $1K | |
| G9920 | Screening performed and negative | 2.6% | 103 | 97 | $892.82 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.5% | 33 | 27 | $855.21 |
| 92551 | 2.1% | 101 | 100 | $716.32 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 191 | 187 | $278.61 |
| 96151 | <1% | 12 | 12 | $242.44 |
12 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 62 | $80.37 |
| 85018 | <1% | 31 | $65.73 | |
| 99173 | <1% | 138 | $48.22 | |
| 86580 | <1% | 31 | $10.00 | |
| 85999 | <1% | 30 | $3.01 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 121 | $0.00 |
| 3008F | 0% | 192 | $0.00 | |
| 81000 | 0% | 30 | $0.00 | |
| 1030F | 0% | 158 | $0.00 | |
| 81001 | 0% | 30 | $0.00 | |
| 1033F | 0% | 313 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 153 | $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.