Physician

Aixa E Toledo-Garcia, M.D.

According to 2025 Medicare claims, Aixa Toledo-Garcia, M.D. (NPI: 1891956751) practices rheumatology in the Albany-Schenectady-Troy, NY market, with the plurality of this provider's patient population coming from Albany, NY. This provider's primary affiliated billing organization is THE CENTER FOR RHEUMATOLOGY, LLP (NPI: 1205926078; TIN: 141647576) and primary practice location at 12203-3714. Toledo-Garcia is affiliated with the Bassett Accountable Care Partners, LLC (ACO ID: A2612), participating under the MSSP model.

Toledo-Garcia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 487 traditional Medicare patients, billed 87,017 HCPCS/CPT codes, and received $1,150,683 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,680 prescription claims across 645 beneficiaries totaling $6,151,932 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 95 records totaling $1,837. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $453,066 to $1,150,683. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,230,898 to $6,151,932. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$575K$1.2M2015 Medicare payment: $453,066 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $678,523 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $731,114 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $698,852 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $908,796 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $938,305 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $857,907 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $951,724 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,083,274 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,150,683 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201530532,237$453,066
201634446,008$678,523
201732045,715$731,114
201833446,156$698,852
201941969,160$908,796
202041767,380$938,305
202138861,044$857,907
202252373,239$951,724
202350376,599$1,083,274
202448787,017$1,150,683

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$3.1M$6.2M2015 Drug cost: $1,230,898 (USD; Tot_Drug_Cst)2016 Drug cost: $1,259,683 (USD; Tot_Drug_Cst)2017 Drug cost: $1,467,774 (USD; Tot_Drug_Cst)2018 Drug cost: $1,778,957 (USD; Tot_Drug_Cst)2019 Drug cost: $2,431,835 (USD; Tot_Drug_Cst)2020 Drug cost: $3,124,894 (USD; Tot_Drug_Cst)2021 Drug cost: $3,717,691 (USD; Tot_Drug_Cst)2022 Drug cost: $4,317,201 (USD; Tot_Drug_Cst)2023 Drug cost: $5,217,364 (USD; Tot_Drug_Cst)2024 Drug cost: $6,151,932 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153271,867$1,230,898
20163491,921$1,259,683
20173471,905$1,467,774
20183541,865$1,778,957
20195152,339$2,431,835
20204642,810$3,124,894
20214602,783$3,717,691
20225122,971$4,317,201
20235953,535$5,217,364
20246453,680$6,151,932

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more465913$90
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's414739$12
36415Insertion of needle into vein for collection of blood sample201427$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count185366$8
85651Red blood cell sedimentation rate, to detect inflammation, non-automated162330$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept1405,494$1,354,731
Humira PenAdalimumab542,282$775,634
Humira(Cf) PenAdalimumab362,128$503,191
Xeljanz XrTofacitinib Citrate662,700$480,964
EnbrelEtanercept471,822$415,534

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.95$1,837ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Aixa E. Toledo-Garcia, M.D.?

Tedicare shows public-source Medicare data for Aixa E. Toledo-Garcia, M.D. (NPI 1891956751), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Aixa E. Toledo-Garcia, M.D. have ACO affiliation data?

Aixa E. Toledo-Garcia, M.D. is shown with ACO affiliation data for Bassett Accountable Care Partners, LLC (MSSP, ACO ID A2612).

What billing organization is linked to Aixa E. Toledo-Garcia, M.D.?

Aixa E. Toledo-Garcia, M.D. is linked to THE CENTER FOR RHEUMATOLOGY, LLP (billing NPI 1205926078) in the available physician profile data.

Does Aixa E. Toledo-Garcia, M.D. have Open Payments data?

Aixa E. Toledo-Garcia, M.D. has 95 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.