Garcia Toro, Ernesto

Garcia Toro, Ernesto was paid $96.00 by Medicaid between Jan 2018 and Jan 2018, across 9 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.

33Billing provider infoGARCIA TORO, ERNESTO
YAUCO, PR 00698

33aNPI1740438191assigned 08/28/2008

33bProvider typeGeneral Practice Physician

28Total paid$96.00

24GClaims707

24DCodes billed9

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#852 of 1,195

Median peer was paid$2K

This provider vs. median0.0×

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	707	$96.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	100%	16	16	$96.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	109	103	$0.00
1158F		0%	55	55	$0.00
1159F		0%	174	162	$0.00
99411		0%	138	136	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	171	167	$0.00
96151		0%	13	13	$0.00
96150		0%	17	17	$0.00
1125F		0%	14	13	$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.