Promedica Central Physicians
Promedica Central Physicians was paid $40.73M by Medicaid between Jan 2018 and Dec 2024, across 245 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPROMEDICA CENTRAL PHYSICIANS
TOLEDO, OH 43604
TOLEDO, OH 43604
33aNPI1043270150assigned 03/23/2006
33bProvider typeOptometrist
28Total paid$40.73M
24GClaims1,145,798
24DCodes billed245
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#1 of 1,098
Median peer was paid$41K
This provider vs. median991×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 153,979 | $6.24M |
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 | 32% | 339,527 | 298,527 | $13.07M |
| 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 | 26% | 199,612 | 184,452 | $10.47M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.6% | 65,447 | 49,582 | $1.87M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 63,830 | 27,576 | $1.40M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 22,015 | 19,965 | $1.11M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 19,420 | 18,579 | $1.10M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 10,969 | 10,490 | $841K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 18,818 | 8,539 | $646K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 12,547 | 12,108 | $624K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 8,926 | 7,938 | $591K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 13,401 | 12,863 | $590K |
| J0178 | Injection, aflibercept, 1 mg | 1.3% | 495 | 353 | $512K |
233 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.0% | 9,246 | $421K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 1,332 | $356K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,368 | $299K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 5,955 | $297K |
| 92015 | Determination of refractive state | <1% | 25,011 | $292K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26,026 | $285K |
| 99223 | Prolong inpt eval add15 m | <1% | 3,923 | $253K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 3,009 | $244K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 2,432 | $225K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,978 | $215K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 3,380 | $215K |
| V2020 | Frames, purchases | <1% | 12,183 | $200K |
| 87428 | <1% | 7,266 | $198K | |
| 93970 | <1% | 8,511 | $190K | |
| 95720 | <1% | 1,189 | $155K | |
| 99205 | Prolong outpt/office vis | <1% | 1,423 | $141K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 4,305 | $140K |
| 99460 | <1% | 1,933 | $140K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 3,865 | $125K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 7,447 | $116K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 5,357 | $115K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 7,266 | $115K |
| 92557 | <1% | 4,079 | $109K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 2,152 | $104K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,632 | $101K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 1,283 | $99K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 5,475 | $96K |
| 92134 | <1% | 8,533 | $87K | |
| 95816 | <1% | 2,147 | $86K | |
| 99177 | <1% | 8,767 | $82K | |
| 90686 | <1% | 14,883 | $78K | |
| 99254 | <1% | 1,053 | $77K | |
| 92567 | <1% | 6,661 | $74K | |
| 11721 | <1% | 4,523 | $67K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 12,664 | $64K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 3,221 | $64K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,174 | $64K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 738 | $62K |
| 95117 | <1% | 7,149 | $62K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 951 | $57K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,279 | $56K |
| 99221 | <1% | 1,872 | $54K | |
| 20610 | <1% | 1,406 | $51K | |
| 95951 | <1% | 516 | $49K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,581 | $48K |
| 93971 | <1% | 3,839 | $48K | |
| 92083 | <1% | 2,412 | $46K | |
| 64483 | <1% | 592 | $45K | |
| 90837 | Psychotherapy session, about an hour | <1% | 544 | $43K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 436 | $43K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 583 | $35K |
| 01936 | <1% | 1,025 | $35K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 773 | $35K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 426 | $33K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 528 | $33K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 397 | $32K |
| 99219 | <1% | 541 | $31K | |
| 73630 | <1% | 1,944 | $31K | |
| 92250 | <1% | 1,349 | $31K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 908 | $29K |
| 94060 | <1% | 2,243 | $28K | |
| 99442 | <1% | 1,160 | $26K | |
| 90670 | <1% | 9,796 | $26K | |
| 90648 | <1% | 11,566 | $24K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,866 | $24K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,307 | $23K |
| 59025 | Fetal non-stress test | <1% | 1,061 | $23K |
| 95718 | <1% | 275 | $23K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 121 | $22K |
| 20611 | <1% | 395 | $21K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 792 | $20K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 395 | $20K |
| 92341 | <1% | 1,023 | $19K | |
| 94729 | <1% | 3,338 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,676 | $19K |
| 99310 | Prolong nursin fac eval 15m | <1% | 686 | $19K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 926 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 256 | $18K |
| 31575 | <1% | 348 | $18K | |
| 72100 | <1% | 939 | $18K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 116 | $18K |
| 93880 | <1% | 881 | $16K | |
| 95811 | <1% | 268 | $16K | |
| 92133 | <1% | 1,297 | $15K | |
| 01961 | <1% | 111 | $14K | |
| 77427 | <1% | 161 | $14K | |
| 76830 | Ultrasound, transvaginal | <1% | 258 | $13K |
| 90723 | <1% | 6,251 | $13K | |
| 99406 | <1% | 1,964 | $12K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 366 | $12K |
| 95886 | <1% | 230 | $11K | |
| 11056 | <1% | 606 | $11K | |
| 0011A | <1% | 177 | $11K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 354 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,217 | $10K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,343 | $10K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 162 | $10K |
| V2025 | Deluxe frame | <1% | 224 | $10K |
| 83655 | <1% | 954 | $9K | |
| 80305 | <1% | 1,056 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 277 | $9K |
| 92588 | <1% | 316 | $8K | |
| 95819 | <1% | 263 | $8K | |
| 99253 | <1% | 149 | $8K | |
| 94726 | <1% | 1,437 | $8K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 513 | $7K |
| 00731 | <1% | 170 | $7K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 17 | $7K |
| 94010 | <1% | 1,349 | $7K | |
| 96127 | <1% | 1,866 | $7K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 696 | $7K |
| 92504 | <1% | 495 | $6K | |
| 99252 | <1% | 141 | $6K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 74 | $6K |
| 77014 | <1% | 239 | $6K | |
| 99443 | <1% | 161 | $5K | |
| 90633 | <1% | 1,760 | $5K | |
| 99441 | <1% | 319 | $5K | |
| 01992 | <1% | 143 | $5K | |
| 0001A | <1% | 49 | $5K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 3,007 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 641 | $4K |
| 93923 | <1% | 312 | $4K | |
| 73610 | <1% | 227 | $4K | |
| 0012A | <1% | 99 | $4K | |
| 90715 | <1% | 112 | $3K | |
| 73130 | <1% | 214 | $3K | |
| 92579 | <1% | 177 | $3K | |
| 99381 | <1% | 52 | $3K | |
| 72040 | <1% | 153 | $3K | |
| 90661 | <1% | 280 | $3K | |
| 36620 | <1% | 114 | $3K | |
| 85018 | <1% | 1,280 | $3K | |
| 0064A | <1% | 44 | $2K | |
| 90656 | <1% | 207 | $2K | |
| 90688 | <1% | 183 | $2K | |
| 0002A | <1% | 61 | $2K | |
| 00797 | <1% | 12 | $2K | |
| 90681 | <1% | 425 | $2K | |
| 90707 | <1% | 518 | $2K | |
| 0071A | <1% | 20 | $2K | |
| 94375 | <1% | 109 | $2K | |
| 73110 | <1% | 112 | $2K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 25 | $2K |
| 59430 | <1% | 25 | $2K | |
| 92136 | <1% | 85 | $2K | |
| 99255 | <1% | 14 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 115 | $2K |
| 90716 | <1% | 429 | $2K | |
| 92228 | <1% | 204 | $2K | |
| 99462 | <1% | 46 | $2K | |
| 36416 | <1% | 1,102 | $2K | |
| 99236 | Prolong inpt eval add15 m | <1% | 27 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 68 | $1K |
| 64484 | <1% | 43 | $1K | |
| 91322 | <1% | 18 | $1K | |
| 00840 | <1% | 16 | $1K | |
| 92552 | <1% | 118 | $1K | |
| 99463 | <1% | 16 | $1K | |
| 81002 | <1% | 682 | $1K | |
| 95806 | <1% | 51 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 789 | $1K |
| 92025 | <1% | 140 | $1K | |
| 92020 | <1% | 126 | $1K | |
| 99217 | <1% | 36 | $1K | |
| 92235 | <1% | 24 | $1K | |
| 76801 | <1% | 17 | $1K | |
| 99318 | <1% | 117 | $974.19 | |
| 0004A | <1% | 12 | $950.64 | |
| 95909 | <1% | 15 | $939.78 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 393 | $924.12 |
| 76942 | <1% | 83 | $895.79 | |
| 11055 | <1% | 56 | $842.11 | |
| 73620 | <1% | 42 | $738.13 | |
| 0134A | <1% | 13 | $712.23 | |
| 99220 | <1% | 15 | $696.55 | |
| 01400 | <1% | 12 | $692.33 | |
| 99243 | <1% | 12 | $648.93 | |
| 54150 | <1% | 14 | $640.61 | |
| 01938 | <1% | 29 | $618.85 | |
| 99305 | <1% | 25 | $611.55 | |
| 90682 | <1% | 14 | $609.56 | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 12 | $596.64 |
| 81025 | <1% | 97 | $575.84 | |
| 82962 | <1% | 585 | $565.12 | |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | <1% | 12 | $513.48 |
| 00910 | <1% | 12 | $478.77 | |
| 99316 | <1% | 12 | $446.49 | |
| 99417 | Prolong home eval add 15m | <1% | 14 | $436.10 |
| 93000 | <1% | 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) | <1% | 290 | $397.95 |
| 80061 | Lipid panel | <1% | 92 | $394.53 |
| 99497 | <1% | 74 | $393.01 | |
| 90480 | <1% | 18 | $392.49 | |
| 90461 | <1% | 2,374 | $372.75 | |
| 90680 | <1% | 2,998 | $362.50 | |
| 81003 | <1% | 435 | $355.54 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | $322.69 |
| 90694 | <1% | 13 | $320.27 | |
| 90677 | <1% | 1,297 | $313.07 | |
| 69210 | <1% | 14 | $291.85 | |
| 92558 | <1% | 15 | $245.43 | |
| 97597 | <1% | 13 | $243.84 | |
| 90660 | <1% | 18 | $237.92 | |
| 99188 | <1% | 17 | $233.70 | |
| 92265 | <1% | 14 | $229.77 | |
| 99459 | <1% | 18 | $227.65 | |
| 90651 | <1% | 24 | $220.00 | |
| 90696 | <1% | 92 | $220.00 | |
| 99307 | <1% | 21 | $196.25 | |
| 87807 | <1% | 15 | $151.30 | |
| 73562 | <1% | 17 | $149.32 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 15 | $130.60 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 15 | $111.69 |
| 95885 | <1% | 12 | $94.52 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 58 | $77.22 |
| G0008 | Administration of influenza virus vaccine | <1% | 119 | $71.67 |
| 90658 | <1% | 15 | $64.94 | |
| 90672 | <1% | 206 | $63.76 | |
| 90685 | <1% | 21 | $60.00 | |
| 99334 | <1% | 19 | $51.11 | |
| 92551 | <1% | 52 | $38.28 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 12 | $35.00 |
| 91300 | <1% | 261 | $0.02 | |
| 90734 | 0% | 31 | $0.00 | |
| 90700 | 0% | 43 | $0.00 | |
| 90710 | 0% | 28 | $0.00 | |
| 91313 | 0% | 13 | $0.00 | |
| 2022F | 0% | 46 | $0.00 | |
| 91301 | 0% | 550 | $0.00 | |
| 94760 | 0% | 64 | $0.00 | |
| 91306 | 0% | 45 | $0.00 | |
| 91307 | 0% | 33 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialWINES, TANYA (DIRECTOR, CREDENTIALING)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.