Toro, Elmer

Toro, Elmer was paid $3K by Medicaid between Nov 2020 and Oct 2024, across 6 billing codes. Its largest line is 99205, Prolong outpt/office vis — 56% of everything it billed.

33Billing provider infoTORO, ELMER
LEHIGH ACRES, FL 33936

33aNPI1912108804assigned 05/30/2007

33bProvider typeFamily Medicine Physician

28Total paid$3K

24GClaims415

24DCodes billed6

24AFirst – last monthNov 2020 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#688 of 996

Median peer was paid$13K

This provider vs. median0.2×

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

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
2020	46	$2K
2021	13	$0.00
2024incomplete	356	$461.35

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99205	Prolong outpt/office vis	56%	13	13	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	15	12	$815.94
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	16%	154	103	$461.35
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	0%	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)	0%	44	37	$0.00
99354		0%	31	27	$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.