Physician
Tobar, Adriana
Tobar, Adriana was paid $179K by Medicaid between Jun 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoTOBAR, ADRIANA
ELKHORN, WI 53121
ELKHORN, WI 53121
33aNPI1609821826assigned 05/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$179K
24GClaims3,539
24DCodes billed9
24AFirst – last monthJun 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#52 of 359
Median peer was paid$4K
This provider vs. median46×
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 | 35 | $2K | |
| 2019 | 40 | $2K | |
| 2020 | 28 | $997.92 | |
| 2021 | 19 | $885.96 | |
| 2022 | 1,011 | $56K | |
| 2023 | 1,964 | $94K | |
| 2024incomplete | 442 | $22K |
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 | 59% | 2,178 | 2,094 | $105K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 13% | 516 | 497 | $23K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 13% | 320 | 293 | $23K |
| 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 | 10% | 248 | 227 | $18K |
| 87634 | 3.8% | 135 | 122 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 60 | 58 | $3K |
| 90686 | <1% | 26 | 24 | $317.96 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 15 | 12 | $182.40 |
| 81003 | <1% | 41 | 37 | $94.41 |
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.