Physician
Irvine, Thomas William
Irvine, Thomas William was paid $28K by Medicaid between Mar 2018 and Sep 2024, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 73% of everything it billed.
33Billing provider infoIRVINE, THOMAS WILLIAM
FALMOUTH, MA 02540
FALMOUTH, MA 02540
33aNPI1386691079assigned 05/28/2006
33bProvider typePulmonary Disease Physician
28Total paid$28K
24GClaims635
24DCodes billed5
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Massachusetts
Rank by total paid#15 of 44
Median peer was paid$7K
This provider vs. median4.2×
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
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 | 168 | $7K | |
| 2019 | 79 | $4K | |
| 2020 | 85 | $1K | |
| 2021 | 55 | $395.31 | |
| 2022 | 96 | $1K | |
| 2024incomplete | 152 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 73% | 258 | 70 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 134 | 62 | $6K |
| 94060 | 2.7% | 102 | 102 | $742.93 | |
| 94727 | 1.6% | 65 | 64 | $438.96 | |
| 94729 | 1.4% | 76 | 76 | $395.52 |
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.