Physician
Toolan, Beth
Toolan, Beth was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoTOOLAN, BETH
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
33aNPI1750360236assigned 01/12/2006
33bProvider typePediatrics Physician
28Total paid$1.32M
24GClaims27,772
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#9 of 265
Median peer was paid$133K
This provider vs. median10.0×
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 | 4,713 | $167K | |
| 2019 | 410 | $16K | |
| 2020 | 3,676 | $141K | |
| 2021 | 4,178 | $165K | |
| 2022 | 4,441 | $194K | |
| 2023 | 5,220 | $319K | |
| 2024incomplete | 5,134 | $321K |
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 | 44% | 8,795 | 7,925 | $584K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,919 | 1,868 | $157K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 1,573 | 1,426 | $117K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 1,460 | 1,441 | $115K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.5% | 989 | 973 | $86K |
| 87428 | 4.0% | 946 | 910 | $53K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.5% | 2,000 | 1,931 | $33K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 3,693 | 3,589 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 627 | 565 | $23K |
| 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 | 1.5% | 231 | 216 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 1,305 | 1,259 | $18K |
| 90461 | 1.0% | 451 | 434 | $14K |
17 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 232 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 843 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 282 | $9K |
| 99460 | <1% | 199 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 939 | $9K |
| 99051 | <1% | 363 | $9K | |
| 90480 | <1% | 143 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 184 | $2K |
| 99462 | <1% | 60 | $1K | |
| 90473 | <1% | 108 | $1K | |
| 0072A | <1% | 28 | $1K | |
| 0124A | <1% | 18 | $743.22 | |
| 0071A | <1% | 19 | $709.39 | |
| 0144A | <1% | 12 | $468.09 | |
| 90686 | <1% | 300 | $13.05 | |
| 90670 | <1% | 26 | $1.30 | |
| 90656 | <1% | 27 | $0.25 |
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.