Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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O'toole, Sheila

O'toole, Sheila was paid $31K by Medicaid between Apr 2024 and Oct 2024, across 3 billing codes. Its largest line is 97814, — 65% of everything it billed.

33Billing provider infoO'TOOLE, SHEILA
GARBERVILLE, CA 95542
33aNPI1073221024assigned 11/08/2022
33bProvider typeAcupuncturist
28Total paid$31K
24GClaims887
24DCodes billed3
24AFirst – last monthApr 2024 – Oct 2024
Compared with peers

Next to other Acupuncturist providers in California

Rank by total paid#223 of 489
Median peer was paid$27K
This provider vs. median1.2×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete887$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97814 65% 432 262 $20K
97813 32% 433 263 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.1% 22 22 $980.98

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.