ROBERT O'TOOLE, M.D.
Orthopaedic Trauma Physician · BALTIMORE, MD
Individual Active NPI 1821037458
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 128 | 333 | $519,264 | $118,602 | $93,023 |
| 2023 | 99 | 311 | $452,238 | $103,889 | $82,379 |
| 2022 | 111 | 252 | $313,070 | $75,188 | $58,151 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 36 | $176 | $132 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 33 | $99 | $67 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $67 | $49 |
| 27245 | Treatment of broken neck of thigh bone with bone implant | 14 | $1,300 | $1,030 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 13 | $85 | $62 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | ✓ | D0061642 | MD |
| Orthopaedic Surgery Physician | 207X00000X | D61642 | MD |
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.