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    OpenPayerNPI Medicare & MedicaidKayla O'toole
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    Kayla O'toole — Billing Profile & Reimbursement Data

    NPI 1285650127 · Saint Louis, MO · Anesthesiology Physician

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    Kayla O'toole is a anesthesiology physician provider located in Saint Louis, Missouri. This profile covers 14 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKayla O'toole
    Address1 Barnes Jewish Hospital Plz
    CitySaint Louis
    StateMO
    ZIP63110
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJuly 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$22.3K
    Medicaid$800

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.50$70$3.4K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…50$50$2.5K
    00142The provider performs anesthesia services for a patient undergoing an eye lens procedure.50$50$2.2K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…40$50$1.8K
    64415The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…30$50$1.7K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.20$80$1.6K
    01638The provider performs anesthesia services for a patient undergoing replacement of the shoulder joint.20$80$1.6K
    00630The provider performs anesthesia services for a patient undergoing a procedure in lumbar region; not otherwise specified.10$110$1.5K
    00790The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.10$120$1.4K
    00145The provider performs anesthesia services for a patient undergoing vitreoretinal surgery.20$70$1.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0014217543030$80$6.3K
    0063061010$200$3.4K
    014021234020$170$3.3K
    0163864010$200$3.2K
    01214189020$180$2.8K
    0081118281020$80$2.6K
    0079012318010$160$2.5K
    00145297020$120$2.4K
    0081237542020$80$2.4K
    01630173020$130$2.4K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00170The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.20$50$800

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    00170The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.7210050$390$131.8K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kayla O'toole, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer RobertsILEmergency Medicine Physician$52.2K$692.5K
    Frederick EmgeIDPediatric Cardiology Physician$0$422.8K
    Yaseen OweisTXDiagnostic Radiology Physician$186.2K$9.1K
    Bruce HedgepethMONuclear Medicine Physician$118.7K$5.7K
    Jordan ChanceMODiagnostic Radiology Physician$111.7K$10.3K
    Robert CarrCODiagnostic Radiology Physician$108.4K$11.7K
    Steven CollumMOAnatomic Pathology & Clinical Pathology Physician$94.9K$25.1K
    Patrick MullinMODiagnostic Radiology Physician$108.5K$7.8K
    Anoop ParameswaranMOCardiovascular Disease Physician$116K$0
    Cassie BoothMOAnatomic Pathology & Clinical Pathology Physician$101.2K$12.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Kayla O'toole — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Kayla O'toole — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri