Physician
OIG excluded
Oconnor, William
Oconnor, William was paid $8K by Medicaid between Apr 2018 and Nov 2019, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoOCONNOR, WILLIAM
FALL RIVER, MA 02720
FALL RIVER, MA 02720
33aNPI1780759381assigned 11/21/2006
33bProvider typeOtolaryngology Physician
28Total paid$8K
24GClaims396
24DCodes billed6
24AFirst – last monthApr 2018 – Nov 2019
Compared with peers
Next to other Otolaryngology Physician providers in Massachusetts
Rank by total paid#53 of 90
Median peer was paid$14K
This provider vs. median0.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (08/18/2022).
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 | 125 | $3K | |
| 2019 | 271 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 55 | 50 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 103 | 89 | $3K |
| 92557 | 20% | 115 | 104 | $2K | |
| 92567 | 6.2% | 93 | 83 | $485.56 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 16 | 15 | $0.00 |
| 1036F | 0% | 14 | 13 | $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.