Tollinche, Marcel

Tollinche, Marcel was paid $237K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 75% of everything it billed.

33Billing provider infoTOLLINCHE, MARCEL
BAYAMON, PR 00959

33aNPI1659359743assigned 01/09/2006

33bProvider typeOphthalmology Physician

28Total paid$237K

24GClaims4,497

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#58 of 141

Median peer was paid$163K

This provider vs. median1.5×

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	647	$36K
2019	1,229	$59K
2020	790	$47K
2021	488	$27K
2022	501	$26K
2023	593	$30K
2024incomplete	249	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	75%	2,707	2,322	$179K
92015	Determination of refractive state	13%	865	788	$30K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	11%	229	179	$26K
92002		<1%	31	31	$2K
92250		<1%	565	492	$385.00
92226		<1%	73	71	$40.84
92201		0%	13	13	$0.00
92133		0%	14	12	$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.