Toscano, Edgar

Toscano, Edgar was paid $198K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 52% of everything it billed.

33Billing provider infoTOSCANO, EDGAR
MONTEBELLO, CA 90640

33aNPI1972532042assigned 07/01/2006

33bProvider typeNephrology Physician

28Total paid$198K

24GClaims3,631

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#134 of 363

Median peer was paid$80K

This provider vs. median2.5×

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	374	$10K
2019	667	$47K
2020	318	$30K
2021	15	$2K
2022	523	$39K
2023	666	$41K
2024incomplete	1,068	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	52%	920	905	$102K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	25%	1,965	576	$50K
90961		12%	363	355	$24K
99223	Prolong inpt eval add15 m	9.9%	331	320	$20K
90962		<1%	52	51	$2K

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.