Tosa Pediatrics SC

Tosa Pediatrics SC was paid $23K by Medicaid between Mar 2018 and Oct 2024, across 8 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 54% of everything it billed.

33Billing provider infoTOSA PEDIATRICS SC
WAUWATOSA, WI 53226

33aNPI1588621536assigned 04/26/2006

33bProvider typePediatrics Physician

28Total paid$23K

24GClaims799

24DCodes billed8

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Wisconsin

Rank by total paid#67 of 200

Median peer was paid$4K

This provider vs. median5.2×

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	54	$959.04
2020	13	$61.18
2021	15	$0.00
2023	385	$10K
2024incomplete	332	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	54%	259	138	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	261	228	$9K
99383		3.6%	19	14	$812.84
3008F		2.5%	79	66	$570.00
90686		<1%	13	13	$61.18
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	12	12	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	141	108	$0.00
99072		0%	15	13	$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 officialRICHER, TIMOTHY (PRESIDENT)