Physician
Toledo, Robert
Toledo, Robert was paid $406K by Medicaid between Jan 2018 and Jun 2021, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoTOLEDO, ROBERT
HENDERSON, NV 89074
HENDERSON, NV 89074
33aNPI1598723389assigned 05/02/2006
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$406K
24GClaims6,909
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Nevada
Rank by total paid#3 of 5
Median peer was paid$406K
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 | 6,629 | $392K | |
| 2019 | 110 | $4K | |
| 2021 | 170 | $10K |
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 | 30% | 1,875 | 1,440 | $122K |
| 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 | 17% | 714 | 647 | $69K |
| 76818 | 16% | 535 | 197 | $64K | |
| 76830 | Ultrasound, transvaginal | 13% | 431 | 412 | $53K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 12% | 414 | 397 | $50K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.2% | 164 | 160 | $25K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.2% | 74 | 64 | $9K |
| 80305 | 1.7% | 1,008 | 962 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,000 | 807 | $4K |
| 81025 | <1% | 476 | 437 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 63 | 40 | $1K |
| 87210 | <1% | 115 | 110 | $307.06 |
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.