Physician
Todaro, Raphaele
Todaro, Raphaele was paid $141K by Medicaid between Jan 2018 and Sep 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoTODARO, RAPHAELE
WILMINGTON, DE 19803
WILMINGTON, DE 19803
33aNPI1841245073assigned 05/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$141K
24GClaims4,903
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#46 of 97
Median peer was paid$101K
This provider vs. median1.4×
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 | 1,049 | $2K | |
| 2019 | 767 | $11K | |
| 2020 | 1,100 | $46K | |
| 2021 | 1,230 | $51K | |
| 2022 | 628 | $24K | |
| 2023 | 129 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 81% | 2,952 | 2,516 | $115K |
| 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 | 10% | 487 | 464 | $15K |
| 80305 | 4.5% | 1,301 | 1,146 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 127 | 120 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | 35 | $711.42 |
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.