Physician
Toussaint, Paul
Toussaint, Paul was paid $530K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 31% of everything it billed.
33Billing provider infoTOUSSAINT, PAUL
CHICAGO, IL 60631
CHICAGO, IL 60631
33aNPI1518960145assigned 05/27/2005
33bProvider typePediatrics Physician
28Total paid$530K
24GClaims15,426
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#285 of 1,805
Median peer was paid$55K
This provider vs. median9.6×
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 | 918 | $30K | |
| 2019 | 2,572 | $91K | |
| 2020 | 1,439 | $47K | |
| 2021 | 1,591 | $49K | |
| 2022 | 2,445 | $85K | |
| 2023 | 3,581 | $120K | |
| 2024incomplete | 2,880 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 31% | 2,343 | 2,038 | $163K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 25% | 1,694 | 1,388 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 925 | 847 | $47K |
| 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 | 5.8% | 433 | 386 | $31K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.5% | 1,783 | 1,546 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 233 | 202 | $18K |
| 90670 | 3.1% | 1,303 | 1,072 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 562 | 511 | $14K |
| 90723 | 2.4% | 924 | 782 | $13K | |
| 90680 | 2.4% | 952 | 792 | $13K | |
| 90647 | 2.2% | 848 | 725 | $12K | |
| 90677 | 1.8% | 276 | 240 | $10K |
21 more codes
| 90633 | 1.1% | 384 | $6K | |
| 90686 | 1.0% | 489 | $6K | |
| 90674 | <1% | 289 | $5K | |
| 90716 | <1% | 164 | $3K | |
| 90698 | <1% | 204 | $3K | |
| 90707 | <1% | 141 | $2K | |
| 90661 | <1% | 112 | $2K | |
| 83655 | <1% | 130 | $2K | |
| 90687 | <1% | 221 | $1K | |
| 90688 | <1% | 124 | $1K | |
| 99460 | <1% | 14 | $830.43 | |
| 90700 | <1% | 45 | $776.56 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $534.60 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 321 | $256.50 |
| 90744 | <1% | 20 | $201.08 | |
| 81002 | <1% | 57 | $145.00 | |
| 36416 | <1% | 48 | $98.40 | |
| 85018 | <1% | 32 | $73.65 | |
| 3008F | 0% | 219 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 45 | $0.00 |
| 90461 | 0% | 79 | $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.