Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Great Neck › NPI 1740679943
Physician

O'toole, Renee

O'toole, Renee was paid $1.30M by Medicaid between Apr 2019 and Sep 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.

33Billing provider infoO'TOOLE, RENEE
GREAT NECK, NY 11021
33aNPI1740679943assigned 01/12/2015
28Total paid$1.30M
24GClaims43,090
24DCodes billed44
24AFirst – last monthApr 2019 – Sep 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#66 of 762
Median peer was paid$22K
This provider vs. median60×

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$50K$100K2018201920202021202220232024
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
2019643$8K
2020394$4K
20211,209$14K
20224,197$122K
202318,999$616K
2024incomplete17,648$540K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 3,482 3,023 $240K
76830 Ultrasound, transvaginal 9.8% 1,249 1,228 $128K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 8.4% 1,345 1,312 $110K
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 7.9% 1,028 987 $103K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6.4% 865 746 $83K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5.4% 833 833 $70K
81513 4.2% 486 482 $55K
99401 3.9% 2,595 2,344 $50K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3.8% 714 577 $50K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3.4% 1,649 1,636 $44K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3.2% 1,640 1,629 $42K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3.1% 1,637 1,626 $41K
32 more codes
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3.0% 745 $40K
87563 2.1% 1,022 $27K
76801 2.0% 472 $26K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2.0% 977 $26K
81025 1.6% 3,687 $21K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1.6% 403 $21K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.6% 237 $21K
99204 Doctor's office visit, new patient (more involved) 1.6% 150 $20K
76818 1.4% 204 $18K
81002 1.0% 5,747 $13K
99203 Doctor's office visit, new patient (routine) <1% 134 $13K
87481 <1% 690 $12K
81007 <1% 6,905 $8K
99385 <1% 43 $4K
76376 <1% 567 $3K
87081 <1% 403 $2K
99459 <1% 96 $2K
87653 <1% 52 $1K
57454 <1% 12 $1K
82670 <1% 56 $1K
84270 <1% 66 $1K
83001 <1% 68 $947.92
83002 <1% 68 $944.52
82627 <1% 54 $900.18
84443 Thyroid stimulating hormone (TSH) <1% 69 $869.40
84144 <1% 55 $860.75
84146 <1% 54 $785.16
36415 Collection of venous blood by venipuncture <1% 2,283 $479.32
84439 <1% 67 $453.59
96160 <1% 156 $401.03
87625 <1% 13 $364.92
84403 <1% 12 $232.32

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.