Malone, Toya

Malone, Toya was paid $44K by Medicaid between Jan 2018 and Dec 2018, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoMALONE, TOYA
LAS VEGAS, NV 89129

33aNPI1720297799assigned 05/22/2007

33bProvider typeNeurology Physician

28Total paid$44K

24GClaims431

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Neurology Physician providers in Nevada

Rank by total paid#33 of 49

Median peer was paid$81K

This provider vs. median0.5×

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	431	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	45%	206	202	$20K
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	27%	80	75	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	132	128	$9K
95816		8.0%	13	13	$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.