Physician
Otoole, Raymond
Otoole, Raymond was paid $48K by Medicaid between Oct 2020 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoOTOOLE, RAYMOND
BRIDGEVILLE, PA 15017
BRIDGEVILLE, PA 15017
33aNPI1033110648assigned 08/04/2005
33bProvider typePediatrics Physician
28Total paid$48K
24GClaims5,042
24DCodes billed18
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#616 of 1,257
Median peer was paid$45K
This provider vs. median1.1×
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 | 38 | $699.16 | |
| 2021 | 404 | $6K | |
| 2022 | 1,475 | $11K | |
| 2023 | 1,717 | $16K | |
| 2024incomplete | 1,408 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 609 | 595 | $19K |
| 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 | 37% | 388 | 374 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 80 | 80 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 24 | 24 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 12 | 12 | $990.50 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 19 | 19 | $702.72 |
| 90688 | <1% | 74 | 70 | $256.00 | |
| 96160 | <1% | 52 | 52 | $33.57 | |
| 96127 | <1% | 26 | 26 | $22.00 | |
| 99173 | <1% | 12 | 12 | $1.00 | |
| 1111F | 0% | 1,117 | 1,095 | $0.00 | |
| 3074F | 0% | 1,145 | 1,122 | $0.00 |
6 more codes
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.