TERRANCE O'TOOLE, D.O
Gastroenterology Physician · CINCINNATI, OH
Individual Active NPI 1134281843
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 543 | 6,159 | $1,250,249 | $237,139 | $189,872 |
| 2023 | 564 | 8,172 | $1,313,189 | $296,266 | $236,339 |
| 2022 | 573 | 17,132 | $1,769,635 | $882,889 | $699,080 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 149 | $236 | $199 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 106 | $88 | $69 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 95 | $86 | $55 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 87 | $112 | $90 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 79 | $116 | $96 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 70 | $120 | $91 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 56 | $124 | $99 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 46 | $171 | $171 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 28 | $124 | $95 |
| 43450 | Dilation of esophagus | 23 | $39 | $30 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 21 | $173 | $173 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 16 | $105 | $68 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 34-008726 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.