Toolan, Brian

Toolan, Brian was paid $5K by Medicaid between Nov 2018 and Mar 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoTOOLAN, BRIAN
LOCKPORT, IL 60441

33aNPI1861402984assigned 08/09/2006

33bProvider typeOrthopaedic Foot and Ankle Surgery Physician

28Total paid$5K

24GClaims146

24DCodes billed2

24AFirst – last monthNov 2018 – Mar 2022

Compared with peers

Next to other Orthopaedic Foot and Ankle Surgery Physician providers in Illinois

Rank by total paid#10 of 15

Median peer was paid$9K

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.

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	44	$2K
2019	88	$3K
2022	14	$585.23

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	91%	134	89	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.6%	12	12	$422.90

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.