Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TORO, ELMER

NPI: 1912108804 · LEHIGH ACRES, FL 33936 · Family Medicine Physician · NPI assigned 05/30/2007

$3K
Total Medicaid Paid
415
Total Claims
309
Beneficiaries
6
Codes Billed
2020-11
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 46 $2K
2021 13 $0.00
2024 356 $461.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 13 13 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 12 $815.94
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 154 103 $461.35
99215 Prolong outpt/office vis 158 117 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 44 37 $0.00
99354 31 27 $0.00