PROVIDER PROFILE · NPI 1104050061

Claudio ToledoM.D.

Emergency MedicineSpring Branch, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

590

Unique beneficiaries

—

Total services

639

Distinct HCPCS

Medicare payment

$52K

Peer benchmark

Total Medicare services vs. 3,447 Emergency Medicine providers in TX — top quintile (cohort median 308).

PRESCRIBING · PART D · 2024

Total Rx claims

794

Beneficiaries

—

Total drug cost

$6K

Distinct drugs

Brand share

28.6%

Top prescribed drugs

Naproxen204 claims

Ondansetron102 claims

Dicyclomine Hcl55 claims

Cefdinir48 claims

Methocarbamol38 claims

QUALITY · MIPS · 2024

Final MIPS score

95.6

Quality

92.0

Cost

85.1

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.87%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Claudio Toledo's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 1 inbound referrers · 3 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	18	30

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	46	96
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Irving, TX	21	53
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	15	31

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history