Toohill, Kaye
Toohill, Kaye was paid $346K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoTOOHILL, KAYE
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
33aNPI1316905805assigned 05/03/2006
33bProvider typeSpecialist
28Total paid$346K
24GClaims7,290
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Illinois
Rank by total paid#32 of 273
Median peer was paid$32K
This provider vs. median11×
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 | 585 | $26K | |
| 2019 | 967 | $40K | |
| 2020 | 1,037 | $33K | |
| 2021 | 2,081 | $95K | |
| 2022 | 915 | $48K | |
| 2023 | 722 | $42K | |
| 2024incomplete | 983 | $62K |
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 | 30% | 2,195 | 1,758 | $105K |
| 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 | 25% | 1,132 | 1,007 | $88K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 11% | 490 | 260 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 413 | 361 | $30K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 188 | 157 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 178 | 126 | $13K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.6% | 91 | 87 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.6% | 287 | 261 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 629 | 546 | $12K |
| 96127 | 1.6% | 358 | 309 | $5K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.6% | 106 | 88 | $5K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.4% | 66 | 63 | $5K |
13 more codes
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 1.0% | 143 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $903.76 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18 | $563.40 |
| 80061 | Lipid panel | <1% | 42 | $313.73 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | $282.60 |
| 36416 | <1% | 56 | $205.00 | |
| 85018 | <1% | 49 | $113.68 | |
| 81003 | <1% | 28 | $58.86 | |
| 91300 | <1% | 15 | $0.15 | |
| 1036F | 0% | 86 | $0.00 | |
| 1220F | 0% | 86 | $0.00 | |
| 1003F | 0% | 403 | $0.00 | |
| 99072 | 0% | 200 | $0.00 |
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.