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

Tosiou, Mary

Tosiou, Mary was paid $478K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 65% of everything it billed.

33Billing provider infoTOSIOU, MARY
BERWYN, IL 60402
33aNPI1801811294assigned 07/13/2006
28Total paid$478K
24GClaims7,826
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#162 of 1,980
Median peer was paid$150K
This provider vs. median3.2×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,403$57K
20192,007$85K
20201,482$78K
2021753$67K
2022721$60K
2023842$72K
2024incomplete618$60K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 65% 3,851 3,463 $310K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 1,852 1,702 $103K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 2,043 1,833 $66K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 80 77 $257.38

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.