Toledo Garcia, Marilyn

Toledo Garcia, Marilyn was paid $56K by Medicaid between Apr 2023 and Jun 2024, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.

33Billing provider infoTOLEDO GARCIA, MARILYN
MANATI, PR 00674

33aNPI1639151434assigned 11/17/2005

33bProvider typePediatrics Physician

28Total paid$56K

24GClaims858

24DCodes billed3

24AFirst – last monthApr 2023 – Jun 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#54 of 194

Median peer was paid$7K

This provider vs. median8.3×

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
2023	674	$38K
2024incomplete	184	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	50%	262	231	$28K
99223	Prolong inpt eval add15 m	36%	299	268	$20K
99238	Hospital discharge day management, 30 minutes or less	14%	297	268	$8K

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.