Physician
O'reilly, John
O'reilly, John was paid $917K by Medicaid between Jan 2018 and Nov 2023, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoO'REILLY, JOHN
SPRINGFIELD, MA 01105
SPRINGFIELD, MA 01105
33aNPI1821189721assigned 09/27/2006
33bProvider typePediatrics Physician
28Total paid$917K
24GClaims25,868
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#82 of 1,273
Median peer was paid$24K
This provider vs. median38×
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 | 3,423 | $115K | |
| 2019 | 3,588 | $116K | |
| 2020 | 4,172 | $150K | |
| 2021 | 6,580 | $234K | |
| 2022 | 7,896 | $300K | |
| 2023 | 209 | $3K |
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 | 31% | 6,337 | 6,173 | $285K |
| 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 | 24% | 3,408 | 3,298 | $216K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 1,355 | 1,355 | $85K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 1,314 | 1,296 | $72K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 1,147 | 1,146 | $70K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 882 | 881 | $62K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.6% | 5,719 | 5,709 | $52K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 4,236 | 4,211 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 1,449 | 1,444 | $32K |
| 99051 | <1% | 21 | 21 | $347.76 |
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.