Physician
Carroll, Thomas
Carroll, Thomas was paid $15K by Medicaid between Mar 2018 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoCARROLL, THOMAS
ROCHESTER, NY 14642
ROCHESTER, NY 14642
33aNPI1902078413assigned 03/25/2008
33bProvider typeHospice and Palliative Medicine (Internal Medicine) Physician
28Total paid$15K
24GClaims724
24DCodes billed3
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Hospice and Palliative Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#15 of 47
Median peer was paid$4K
This provider vs. median3.6×
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 | 13 | $181.47 | |
| 2019 | 24 | $172.00 | |
| 2020 | 14 | $310.53 | |
| 2021 | 128 | $3K | |
| 2022 | 103 | $4K | |
| 2023 | 86 | $2K | |
| 2024incomplete | 356 | $5K |
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 | 55% | 346 | 342 | $8K |
| 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 | 45% | 216 | 212 | $7K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 162 | 161 | $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.