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
FARMINGTON, MO 63640
33aNPI1922569896assigned 03/25/2019
33bProvider typeFamily Nurse Practitioner
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
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 | |
|---|---|---|---|
| 2019 | 284 | $13K | |
| 2020 | 195 | $9K |
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 | 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.