Toole, Brian

Toole, Brian was paid $6K by Medicaid between Jan 2018 and Feb 2018, across 7 billing codes. Its largest line is 99395, Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years — 40% of everything it billed.

33Billing provider infoTOOLE, BRIAN
CHICOPEE, MA 01020

33aNPI1841249612assigned 05/09/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$6K

24GClaims160

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Massachusetts

Rank by total paid#112 of 216

Median peer was paid$7K

This provider vs. median0.9×

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	160	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	40%	25	25	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	21	20	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	15%	32	32	$902.48
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	15%	32	32	$902.48
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	4.7%	13	13	$280.52
87210		2.2%	20	19	$130.24
81025		2.0%	17	17	$118.64

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.