Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Toole, Shannon

Toole, Shannon was paid $22K by Medicaid between Jun 2019 and Jul 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoTOOLE, SHANNON
FARMINGTON, MO 63640
33aNPI1922569896assigned 03/25/2019
28Total paid$22K
24GClaims479
24DCodes billed5
24AFirst – last monthJun 2019 – Jul 2020
Compared with peers

Next to other Family Nurse Practitioner providers in Missouri

Rank by total paid#257 of 745
Median peer was paid$11K
This provider vs. median2.0×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2019284$13K
2020195$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 86% 392 378 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.6% 13 13 $999.95
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 4.4% 14 14 $946.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.5% 48 48 $765.84
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.8% 12 12 $392.43

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.