Irwin, Thomas

Irwin, Thomas was paid $100K by Medicaid between Jan 2018 and Apr 2022, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 35% of everything it billed.

33Billing provider infoIRWIN, THOMAS
MARRERO, LA 70072

33aNPI1629172358assigned 09/12/2006

33bProvider typeOtolaryngology Physician

28Total paid$100K

24GClaims1,729

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Otolaryngology Physician providers in Louisiana

Rank by total paid#25 of 56

Median peer was paid$82K

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

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	539	$25K
2019	465	$21K
2020	445	$25K
2021	168	$7K
2022	112	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	35%	632	615	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	921	827	$34K
0202U	Oncology (prostate), multianalyte, gene expression profiling	20%	48	48	$20K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	7.0%	29	18	$7K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	1.1%	29	18	$1K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	<1%	14	13	$900.00
87486		<1%	28	18	$636.13
87581		<1%	28	18	$636.13

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.