Medicaid Provider Spending

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

TOLEDO CLINIC INCORPORATED

NPI: 1144217894 · TOLEDO, OH 43623 · Allergy Physician · NPI assigned 09/28/2005

$15.83M
Total Medicaid Paid
542,568
Total Claims
399,318
Beneficiaries
255
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSYLAK, TOM (CHIEF OPERATING OFFICER)
NPI Enumeration Date09/28/2005

Related Entities

Other providers sharing the same authorized official: SYLAK, TOM

ProviderCityStateTotal Paid
TOLEDO CLINIC INCORPORATED TOLEDO OH $1.98M
TOLEDO CLINIC INCORPORATED TOLEDO OH $813K
TOLEDO CLINIC INCORPORATED MONROE MI $585K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 96,248 $2.75M
2019 93,145 $2.54M
2020 78,044 $2.15M
2021 76,385 $2.39M
2022 63,516 $2.12M
2023 78,732 $2.14M
2024 56,498 $1.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 118,798 107,632 $4.96M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 86,375 78,204 $2.57M
99232 Subsequent hospital care, per day, moderate complexity 63,875 23,238 $1.04M
99233 Prolong inpt eval add15 m 42,614 16,898 $913K
99308 Subsequent nursing facility care, per day, straightforward 48,473 24,541 $814K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,923 6,468 $541K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,585 8,089 $467K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,118 5,780 $257K
J0585 Injection, onabotulinumtoxina, 1 unit 309 267 $246K
99223 Prolong inpt eval add15 m 5,119 4,652 $227K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,232 1,160 $200K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,984 2,808 $195K
90460 Immunization administration through 18 years of age via any route, first or only component 8,231 5,013 $167K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,972 1,780 $149K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,711 3,226 $144K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,821 1,079 $133K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,109 1,936 $119K
95811 899 848 $112K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6,681 4,573 $108K
45380 Colonoscopy, flexible; with biopsy, single or multiple 957 838 $107K
99222 Initial hospital care, per day, moderate complexity 3,132 2,886 $107K
88342 1,554 1,458 $97K
95117 10,581 5,144 $82K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,640 1,498 $81K
64483 1,648 1,338 $78K
88173 696 662 $71K
99239 Hospital discharge day management, more than 30 minutes 2,959 2,708 $71K
31231 876 828 $64K
95810 Polysomnography; sleep staging with 4 or more additional parameters 728 688 $62K
94060 2,694 2,517 $58K
11721 4,222 3,942 $54K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 300 246 $52K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 383 225 $51K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,504 1,400 $50K
95819 798 770 $45K
95912 444 377 $44K
95816 1,022 950 $44K
76536 979 937 $43K
95886 1,583 959 $42K
71046 Radiologic examination, chest; 2 views 3,075 2,873 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 735 718 $41K
99215 Prolong outpt/office vis 790 693 $40K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,455 3,991 $35K
10005 771 741 $34K
99306 Prolong nursin fac eval 15m 1,088 985 $32K
93000 3,145 2,927 $30K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 500 305 $30K
88172 720 687 $29K
67028 Intravitreal injection of a pharmacologic agent 562 399 $28K
94729 2,474 2,307 $27K
92557 1,213 1,110 $27K
72100 1,359 1,283 $25K
36902 417 386 $24K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,426 675 $23K
92134 2,501 2,245 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 353 323 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,412 1,286 $21K
17311 111 94 $20K
93970 1,061 981 $20K
77067 Screening mammography, bilateral, including computer-aided detection 452 431 $19K
20611 431 243 $18K
17110 440 358 $18K
64612 230 222 $18K
62323 196 181 $15K
94727 1,270 1,217 $14K
64616 335 300 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited 276 264 $12K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 912 351 $12K
77063 Screening digital breast tomosynthesis, bilateral 405 386 $12K
92567 1,324 1,215 $12K
64493 312 239 $11K
11102 384 344 $11K
90961 419 398 $11K
A9575 Injection, gadoterate meglumine, 0.1 ml 712 643 $11K
J3490 Unclassified drugs 104 67 $10K
30140 59 52 $10K
64635 126 91 $10K
93971 704 661 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 590 561 $10K
99254 136 131 $9K
92015 Determination of refractive state 740 639 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,031 449 $9K
62321 101 89 $9K
99310 Prolong nursin fac eval 15m 306 177 $8K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 40 38 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,247 1,117 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes 418 204 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 72 65 $7K
96910 351 68 $7K
99406 902 798 $7K
17312 44 39 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,791 1,387 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 201 193 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,039 906 $6K
94726 756 688 $6K
99305 270 238 $6K
64494 288 201 $6K
99238 Hospital discharge day management, 30 minutes or less 293 267 $5K
92083 273 259 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 453 386 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 363 234 $5K
85018 2,638 2,396 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 362 225 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 201 177 $5K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 459 351 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 568 427 $4K
31575 94 90 $4K
90674 173 160 $4K
83036 Hemoglobin; glycosylated (A1C) 1,358 1,260 $4K
95911 44 40 $4K
62370 183 134 $4K
10022 128 91 $4K
81002 2,939 2,680 $4K
96127 1,095 987 $3K
76942 132 116 $3K
J9035 Injection, bevacizumab, 10 mg 80 53 $3K
70486 32 25 $3K
27096 72 53 $3K
90670 1,009 951 $3K
99442 186 170 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 366 308 $3K
00731 40 40 $3K
99460 42 40 $3K
95024 72 68 $3K
64636 78 54 $3K
71250 37 36 $3K
90648 1,157 1,063 $3K
36901 56 51 $3K
90686 890 857 $2K
99497 395 287 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 308 260 $2K
76641 50 26 $2K
93016 173 158 $2K
99205 Prolong outpt/office vis 29 26 $2K
99457 78 68 $2K
74018 160 149 $2K
73630 175 141 $2K
90694 110 82 $2K
90688 145 140 $2K
95250 29 25 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 82 79 $2K
93880 119 117 $2K
99152 526 475 $2K
64484 72 54 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 12 $2K
90723 624 581 $2K
92228 341 177 $2K
11305 78 29 $2K
80053 Comprehensive metabolic panel 1,289 1,064 $2K
11100 39 39 $2K
73620 86 61 $2K
93018 187 172 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 14 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 268 252 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,470 1,138 $1K
93923 104 98 $1K
72040 85 81 $1K
99051 77 74 $1K
99307 159 130 $1K
90680 388 373 $1K
73562 103 69 $1K
80305 273 251 $1K
94010 106 95 $1K
76775 41 39 $1K
99490 Ccm add 20min 183 173 $1K
92133 111 105 $1K
46600 29 24 $1K
17000 41 37 $992.98
77080 42 40 $959.40
90677 103 75 $933.78
90710 87 81 $922.70
96367 43 26 $906.57
80061 Lipid panel 570 541 $894.23
97161 14 12 $882.79
99221 47 45 $866.17
99220 13 13 $853.92
51798 112 100 $790.50
11755 14 14 $774.43
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 111 90 $760.37
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $737.59
99217 27 26 $737.33
84443 Thyroid stimulating hormone (TSH) 295 288 $708.92
90653 44 40 $696.29
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 28 28 $667.76
90935 Hemodialysis procedure with single evaluation by a physician 25 12 $665.88
96375 Therapeutic injection; each additional sequential IV push 29 15 $615.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg 783 615 $612.62
99334 28 27 $597.01
J1030 Injection, methylprednisolone acetate, 40 mg 158 133 $594.22
80048 Basic metabolic panel (calcium, ionized) 423 384 $516.69
90966 13 13 $514.70
99439 39 37 $505.73
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 19 12 $492.43
36416 755 721 $478.49
G0008 Administration of influenza virus vaccine 241 184 $476.17
90633 131 124 $475.19
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 24 12 $473.90
36415 Collection of venous blood by venipuncture 233 212 $420.11
92020 52 49 $411.80
93227 16 12 $352.72
87807 49 36 $352.22
97035 48 25 $342.19
99441 32 31 $325.63
84439 244 235 $323.35
93925 20 18 $318.34
90685 38 36 $280.00
81001 498 472 $251.12
80050 General health panel 88 88 $248.93
20610 14 12 $242.35
64495 16 12 $239.27
92250 12 12 $235.81
90661 12 12 $227.76
90756 36 29 $200.88
11720 30 26 $185.57
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 18 12 $181.50
73030 13 13 $168.15
80069 122 115 $167.15
99153 Mod sedat endo service >5yrs 37 35 $140.92
85027 192 186 $134.50
92504 14 14 $133.13
86140 194 186 $127.31
90734 27 25 $110.00
92136 17 12 $97.91
82607 66 66 $97.33
90962 15 12 $90.58
90647 17 17 $80.00
90700 14 12 $80.00
82565 81 75 $76.66
82570 105 103 $73.49
94760 856 759 $51.82
85652 188 181 $49.64
90461 472 415 $42.00
82728 51 48 $37.57
82948 16 12 $35.03
83540 70 69 $32.07
82043 37 37 $29.74
82746 13 13 $28.82
83550 53 52 $24.08
J1885 Injection, ketorolac tromethamine, per 15 mg 29 26 $23.97
81000 17 13 $23.06
87086 Culture, bacterial; quantitative colony count, urine 31 25 $22.07
82962 30 24 $19.26
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 19 18 $2.74
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 18 12 $0.60
90671 15 15 $0.13
90656 33 33 $0.09
94660 14 13 $0.00
99024 260 194 $0.00
82550 14 14 $0.00
S0280 Medical home program, comprehensive care coordination and planning, initial plan 121 119 $0.00
1101F 32 26 $0.00
A4550 Surgical trays 936 745 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 68 62 $0.00
99348 13 13 $0.00
3288F 16 13 $0.00