Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › TOLEDO › PROMEDICA CENTRAL PHYSICIANS

PROMEDICA CENTRAL PHYSICIANS

NPI: 1043270150 · TOLEDO, OH 43604 · Optometrist · NPI assigned 03/23/2006

$40.73M
Total Medicaid Paid
1,145,798
Total Claims
984,535
Beneficiaries
245
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWINES, TANYA (DIRECTOR, CREDENTIALING)
NPI Enumeration Date03/23/2006

Related Entities

Other providers sharing the same authorized official: WINES, TANYA

ProviderCityStateTotal Paid
PROMEDICA CENTRAL CORPORATION OF MICHIGAN TOLEDO OH $14.22M
PROMEDICA CHILDREN'S SPECIALISTS TOLEDO OH $3.93M
PROMEDICA CENTRAL PHYSICIANS HOLLAND OH $524K
PROMEDICA CENTRAL CORPORATION OF MICHIGAN TECUMSEH MI $158K
PROMEDICA MONROE CARDIOLOGY, PLLC MONROE MI $138K
PROMEDICA CENTRAL PHYSICIANS OREGON OH $29K
PROMEDICA CENTRAL PHYSICIANS PERRYSBURG OH $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 131,570 $4.37M
2019 140,187 $4.68M
2020 119,656 $4.01M
2021 175,955 $6.26M
2022 210,632 $7.66M
2023 213,819 $7.51M
2024 153,979 $6.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 339,527 298,527 $13.07M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 199,612 184,452 $10.47M
90460 Immunization administration through 18 years of age via any route, first or only component 65,447 49,582 $1.87M
99232 Subsequent hospital care, per day, moderate complexity 63,830 27,576 $1.40M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 22,015 19,965 $1.11M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19,420 18,579 $1.10M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,969 10,490 $841K
99233 Prolong inpt eval add15 m 18,818 8,539 $646K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,547 12,108 $624K
99215 Prolong outpt/office vis 8,926 7,938 $591K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13,401 12,863 $590K
J0178 Injection, aflibercept, 1 mg 495 353 $512K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9,246 8,960 $421K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1,332 1,219 $356K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,368 5,222 $299K
99222 Initial hospital care, per day, moderate complexity 5,955 5,487 $297K
92015 Determination of refractive state 25,011 23,950 $292K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26,026 23,732 $285K
99223 Prolong inpt eval add15 m 3,923 3,627 $253K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,009 1,260 $244K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,432 2,286 $225K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,978 9,073 $215K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,380 2,776 $215K
V2020 Frames, purchases 12,183 11,662 $200K
87428 7,266 6,681 $198K
93970 8,511 7,985 $190K
95720 1,189 648 $155K
99205 Prolong outpt/office vis 1,423 1,390 $141K
99238 Hospital discharge day management, 30 minutes or less 4,305 4,146 $140K
99460 1,933 1,862 $140K
99239 Hospital discharge day management, more than 30 minutes 3,865 3,619 $125K
99309 Subsequent nursing facility care, per day, low to moderate complexity 7,447 5,297 $116K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5,357 5,051 $115K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,266 4,501 $115K
92557 4,079 3,888 $109K
67028 Intravitreal injection of a pharmacologic agent 2,152 1,553 $104K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,632 1,615 $101K
99244 Office or other outpatient consultation, moderate to high complexity 1,283 1,254 $99K
92340 Fitting of spectacles, except for aphakia; monofocal 5,475 5,294 $96K
92134 8,533 7,714 $87K
95816 2,147 2,066 $86K
99177 8,767 8,326 $82K
90686 14,883 14,383 $78K
99254 1,053 966 $77K
92567 6,661 6,362 $74K
11721 4,523 4,309 $67K
V2784 Lens, polycarbonate or equal, any index, per lens 12,664 11,994 $64K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,221 2,143 $64K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,174 3,963 $64K
00170 Anesthesia for intraoral procedures, including biopsy 738 684 $62K
95117 7,149 2,710 $62K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 951 914 $57K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,279 4,179 $56K
99221 1,872 1,788 $54K
20610 1,406 1,118 $51K
95951 516 187 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,581 3,948 $48K
93971 3,839 3,693 $48K
92083 2,412 2,290 $46K
64483 592 568 $45K
90837 Psychotherapy, 53 minutes with patient 544 319 $43K
90791 Psychiatric diagnostic evaluation 436 433 $43K
95810 Polysomnography; sleep staging with 4 or more additional parameters 583 570 $35K
01936 1,025 917 $35K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 773 723 $35K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 426 397 $33K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 528 480 $33K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 397 384 $32K
99219 541 529 $31K
73630 1,944 1,564 $31K
92250 1,349 1,235 $31K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 908 900 $29K
94060 2,243 2,151 $28K
99442 1,160 1,003 $26K
90670 9,796 9,330 $26K
90648 11,566 11,001 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,866 2,580 $24K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2,307 2,221 $23K
59025 Fetal non-stress test 1,061 412 $23K
95718 275 209 $23K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 121 64 $22K
20611 395 347 $21K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 792 757 $20K
90834 Psychotherapy, 45 minutes with patient 395 284 $20K
92341 1,023 932 $19K
94729 3,338 3,202 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,676 838 $19K
99310 Prolong nursin fac eval 15m 686 491 $19K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 926 798 $18K
90792 Psychiatric diagnostic evaluation with medical services 256 235 $18K
31575 348 326 $18K
72100 939 893 $18K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 116 55 $18K
93880 881 868 $16K
95811 268 263 $16K
92133 1,297 1,224 $15K
01961 111 108 $14K
77427 161 101 $14K
76830 Ultrasound, transvaginal 258 251 $13K
90723 6,251 5,909 $13K
99406 1,964 1,775 $12K
J9035 Injection, bevacizumab, 10 mg 366 238 $12K
95886 230 224 $11K
11056 606 577 $11K
0011A 177 163 $11K
99306 Prolong nursin fac eval 15m 354 344 $11K
83036 Hemoglobin; glycosylated (A1C) 2,217 2,103 $10K
99308 Subsequent nursing facility care, per day, straightforward 1,343 1,011 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 162 146 $10K
V2025 Deluxe frame 224 201 $10K
83655 954 896 $9K
80305 1,056 837 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 277 272 $9K
92588 316 306 $8K
95819 263 257 $8K
99253 149 141 $8K
94726 1,437 1,368 $8K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 513 448 $7K
00731 170 136 $7K
J0585 Injection, onabotulinumtoxina, 1 unit 17 12 $7K
94010 1,349 1,281 $7K
96127 1,866 1,801 $7K
J1030 Injection, methylprednisolone acetate, 40 mg 696 667 $7K
92504 495 457 $6K
99252 141 140 $6K
H1000 Prenatal care, at-risk assessment 74 65 $6K
77014 239 65 $6K
99443 161 150 $5K
90633 1,760 1,652 $5K
99441 319 313 $5K
01992 143 128 $5K
0001A 49 49 $5K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 3,007 2,600 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 641 554 $4K
93923 312 304 $4K
73610 227 200 $4K
0012A 99 99 $4K
90715 112 95 $3K
73130 214 151 $3K
92579 177 169 $3K
99381 52 51 $3K
72040 153 145 $3K
90661 280 270 $3K
36620 114 105 $3K
85018 1,280 1,213 $3K
0064A 44 43 $2K
90656 207 199 $2K
90688 183 181 $2K
0002A 61 60 $2K
00797 12 12 $2K
90681 425 421 $2K
90707 518 501 $2K
0071A 20 15 $2K
94375 109 104 $2K
73110 112 90 $2K
76819 Fetal biophysical profile; without non-stress testing 25 14 $2K
59430 25 24 $2K
92136 85 55 $2K
99255 14 13 $2K
D1208 Topical application of fluoride, excluding varnish 115 112 $2K
90716 429 413 $2K
92228 204 76 $2K
99462 46 39 $2K
36416 1,102 1,069 $2K
99236 Prolong inpt eval add15 m 27 25 $2K
71046 Radiologic examination, chest; 2 views 68 68 $1K
64484 43 42 $1K
91322 18 15 $1K
00840 16 13 $1K
92552 118 115 $1K
99463 16 15 $1K
81002 682 667 $1K
95806 51 51 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 789 729 $1K
92025 140 136 $1K
92020 126 118 $1K
99217 36 36 $1K
92235 24 24 $1K
76801 17 16 $1K
99318 117 96 $974.19
0004A 12 12 $950.64
95909 15 15 $939.78
36415 Collection of venous blood by venipuncture 393 356 $924.12
76942 83 80 $895.79
11055 56 49 $842.11
73620 42 26 $738.13
0134A 13 12 $712.23
99220 15 15 $696.55
01400 12 12 $692.33
99243 12 12 $648.93
54150 14 14 $640.61
01938 29 24 $618.85
99305 25 25 $611.55
90682 14 14 $609.56
S0620 Routine ophthalmological examination including refraction; new patient 12 12 $596.64
81025 97 94 $575.84
82962 585 569 $565.12
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth 12 12 $513.48
00910 12 12 $478.77
99316 12 12 $446.49
99417 Prolong home eval add 15m 14 14 $436.10
93000 41 41 $410.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 290 283 $397.95
80061 Lipid panel 92 92 $394.53
99497 74 63 $393.01
90480 18 15 $392.49
90461 2,374 2,030 $372.75
90680 2,998 2,775 $362.50
81003 435 390 $355.54
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $322.69
90694 13 12 $320.27
90677 1,297 1,214 $313.07
69210 14 13 $291.85
92558 15 15 $245.43
97597 13 12 $243.84
90660 18 18 $237.92
99188 17 12 $233.70
92265 14 14 $229.77
99459 18 14 $227.65
90651 24 24 $220.00
90696 92 91 $220.00
99307 21 14 $196.25
87807 15 14 $151.30
73562 17 12 $149.32
J1010 Injection, methylprednisolone acetate, 1 mg 15 12 $130.60
J1040 Injection, methylprednisolone acetate, 80 mg 15 14 $111.69
95885 12 12 $94.52
G0444 Annual depression screening, 5 to 15 minutes 58 57 $77.22
G0008 Administration of influenza virus vaccine 119 112 $71.67
90658 15 14 $64.94
90672 206 197 $63.76
90685 21 19 $60.00
99334 19 19 $51.11
92551 52 51 $38.28
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 12 12 $35.00
91300 261 253 $0.02
90734 31 31 $0.00
90700 43 37 $0.00
90710 28 28 $0.00
91313 13 12 $0.00
2022F 46 42 $0.00
91301 550 505 $0.00
94760 64 60 $0.00
91306 45 44 $0.00
91307 33 28 $0.00