Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ma. Clarisse Toledo-Santos LLC

Ma. Clarisse Toledo-Santos LLC was paid $65K by Medicaid between Apr 2018 and Sep 2024, across 3 billing codes. Its largest line is 90962, — 50% of everything it billed.

33Billing provider infoMA. CLARISSE TOLEDO-SANTOS LLC
HONOLULU, HI 96817
33aNPI1639551146assigned 06/19/2015
33bProvider typeNephrology Physician
28Total paid$65K
24GClaims1,431
24DCodes billed3
24AFirst – last monthApr 2018 – Sep 2024
Compared with peers

Next to other Nephrology Physician providers in Hawaii

Rank by total paid#8 of 12
Median peer was paid$96K
This provider vs. median0.7×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018154$4K
2019196$8K
2020137$7K
2021256$12K
2022251$11K
2023303$14K
2024incomplete134$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90962 50% 641 541 $32K
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 44% 685 615 $28K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.1% 105 26 $4K

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 officialSANTOS, MA CLARISSE (DR.)