Physician
Tolbert, Charone
Tolbert, Charone was paid $647K by Medicaid between Jan 2018 and Jun 2022, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoTOLBERT, CHARONE
QUINCY, IL 62301
QUINCY, IL 62301
33aNPI1033386461assigned 05/14/2008
33bProvider typePediatrics Physician
28Total paid$647K
24GClaims15,337
24DCodes billed27
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#230 of 1,805
Median peer was paid$55K
This provider vs. median12×
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 | 2,789 | $109K | |
| 2019 | 4,178 | $157K | |
| 2020 | 3,166 | $134K | |
| 2021 | 3,603 | $164K | |
| 2022 | 1,601 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 3,420 | 2,863 | $242K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 1,687 | 1,442 | $112K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,421 | 1,241 | $105K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,284 | 1,969 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 391 | 347 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 862 | 800 | $13K |
| 90670 | 1.5% | 1,085 | 1,019 | $10K | |
| 90723 | 1.1% | 928 | 726 | $7K | |
| 90647 | <1% | 892 | 724 | $6K | |
| 90680 | <1% | 653 | 509 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 154 | 150 | $4K |
| 90686 | <1% | 462 | 429 | $3K |
15 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 64 | $2K |
| 90633 | <1% | 261 | $2K | |
| 83655 | <1% | 147 | $2K | |
| 87807 | <1% | 137 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 41 | $610.76 |
| 99460 | <1% | 13 | $597.79 | |
| 90716 | <1% | 35 | $582.06 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 41 | $518.34 |
| 90707 | <1% | 31 | $431.69 | |
| 36416 | <1% | 96 | $390.38 | |
| 85018 | <1% | 163 | $374.75 | |
| 90696 | <1% | 22 | $133.25 | |
| 90710 | <1% | 22 | $133.25 | |
| 90700 | <1% | 12 | $98.30 |
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.