Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Toledo › NPI 1144217894
Physician

Toledo Clinic Incorporated

Toledo Clinic Incorporated was paid $15.83M by Medicaid between Jan 2018 and Dec 2024, across 255 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoTOLEDO CLINIC INCORPORATED
TOLEDO, OH 43623
33aNPI1144217894assigned 09/28/2005
33bProvider typeAllergy Physician
28Total paid$15.83M
24GClaims542,568
24DCodes billed255
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Allergy Physician providers in Ohio

Rank by total paid#1 of 13
Median peer was paid$159K
This provider vs. median100×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201896,248$2.75M
201993,145$2.54M
202078,044$2.15M
202176,385$2.39M
202263,516$2.12M
202378,732$2.14M
2024incomplete56,498$1.74M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 118,798 107,632 $4.96M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 86,375 78,204 $2.57M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.6% 63,875 23,238 $1.04M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.8% 42,614 16,898 $913K
99308 Subsequent nursing facility care, per day, straightforward 5.1% 48,473 24,541 $814K
88305 Level IV - Surgical pathology, gross and microscopic examination 3.4% 6,923 6,468 $541K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.0% 8,585 8,089 $467K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 6,118 5,780 $257K
J0585 Injection, onabotulinumtoxina, 1 unit 1.6% 309 267 $246K
99223 Prolong inpt eval add15 m 1.4% 5,119 4,652 $227K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1.3% 1,232 1,160 $200K
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 1.2% 2,984 2,808 $195K
243 more codes
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 8,231 $167K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,972 $149K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 7,711 $144K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 2,821 $133K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,109 $119K
95811 <1% 899 $112K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 6,681 $108K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 957 $107K
99222 Initial hospital care, per day, moderate complexity <1% 3,132 $107K
88342 <1% 1,554 $97K
95117 <1% 10,581 $82K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,640 $81K
64483 <1% 1,648 $78K
88173 <1% 696 $71K
99239 Hospital discharge day management, more than 30 minutes <1% 2,959 $71K
31231 <1% 876 $64K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 728 $62K
94060 <1% 2,694 $58K
11721 <1% 4,222 $54K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 300 $52K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 383 $51K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,504 $50K
95819 <1% 798 $45K
95912 <1% 444 $44K
95816 <1% 1,022 $44K
76536 <1% 979 $43K
95886 <1% 1,583 $42K
71046 Radiologic examination, chest; 2 views <1% 3,075 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 735 $41K
99215 Doctor's office visit, returning patient (complex) <1% 790 $40K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 4,455 $35K
10005 <1% 771 $34K
99306 Prolong nursin fac eval 15m <1% 1,088 $32K
93000 <1% 3,145 $30K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 500 $30K
88172 <1% 720 $29K
67028 Intravitreal injection of a pharmacologic agent <1% 562 $28K
94729 <1% 2,474 $27K
92557 <1% 1,213 $27K
72100 <1% 1,359 $25K
36902 <1% 417 $24K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,426 $23K
92134 <1% 2,501 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 353 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,412 $21K
17311 <1% 111 $20K
93970 <1% 1,061 $20K
77067 Screening mammography, bilateral, including computer-aided detection <1% 452 $19K
20611 <1% 431 $18K
17110 <1% 440 $18K
64612 <1% 230 $18K
62323 <1% 196 $15K
94727 <1% 1,270 $14K
64616 <1% 335 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 276 $12K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 912 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 405 $12K
92567 <1% 1,324 $12K
64493 <1% 312 $11K
11102 <1% 384 $11K
90961 <1% 419 $11K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 712 $11K
J3490 Unclassified drugs <1% 104 $10K
30140 <1% 59 $10K
64635 <1% 126 $10K
93971 <1% 704 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 590 $10K
99254 <1% 136 $9K
92015 Determination of refractive state <1% 740 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,031 $9K
62321 <1% 101 $9K
99310 Prolong nursin fac eval 15m <1% 306 $8K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 40 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,247 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 418 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 72 $7K
96910 <1% 351 $7K
99406 <1% 902 $7K
17312 <1% 44 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,791 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 201 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,039 $6K
94726 <1% 756 $6K
99305 <1% 270 $6K
64494 <1% 288 $6K
99238 Hospital discharge day management, 30 minutes or less <1% 293 $5K
92083 <1% 273 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 453 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 363 $5K
85018 <1% 2,638 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 362 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 201 $5K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 459 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 568 $4K
31575 <1% 94 $4K
90674 <1% 173 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 1,358 $4K
95911 <1% 44 $4K
62370 <1% 183 $4K
10022 <1% 128 $4K
81002 <1% 2,939 $4K
96127 <1% 1,095 $3K
76942 <1% 132 $3K
J9035 Injection, bevacizumab, 10 mg <1% 80 $3K
70486 <1% 32 $3K
27096 <1% 72 $3K
90670 <1% 1,009 $3K
99442 <1% 186 $3K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 366 $3K
00731 <1% 40 $3K
99460 <1% 42 $3K
95024 <1% 72 $3K
64636 <1% 78 $3K
71250 <1% 37 $3K
90648 <1% 1,157 $3K
36901 <1% 56 $3K
90686 <1% 890 $2K
99497 <1% 395 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 308 $2K
76641 <1% 50 $2K
93016 <1% 173 $2K
99205 Prolong outpt/office vis <1% 29 $2K
99457 <1% 78 $2K
74018 <1% 160 $2K
73630 <1% 175 $2K
90694 <1% 110 $2K
90688 <1% 145 $2K
95250 <1% 29 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 82 $2K
93880 <1% 119 $2K
99152 <1% 526 $2K
64484 <1% 72 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 15 $2K
90723 <1% 624 $2K
92228 <1% 341 $2K
11305 <1% 78 $2K
80053 Comprehensive metabolic panel <1% 1,289 $2K
11100 <1% 39 $2K
73620 <1% 86 $2K
93018 <1% 187 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 14 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 268 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,470 $1K
93923 <1% 104 $1K
72040 <1% 85 $1K
99051 <1% 77 $1K
99307 <1% 159 $1K
90680 <1% 388 $1K
73562 <1% 103 $1K
80305 <1% 273 $1K
94010 <1% 106 $1K
76775 <1% 41 $1K
99490 Ccm add 20min <1% 183 $1K
92133 <1% 111 $1K
46600 <1% 29 $1K
17000 <1% 41 $992.98
77080 <1% 42 $959.40
90677 <1% 103 $933.78
90710 <1% 87 $922.70
96367 <1% 43 $906.57
80061 Lipid panel <1% 570 $894.23
97161 <1% 14 $882.79
99221 <1% 47 $866.17
99220 <1% 13 $853.92
51798 <1% 112 $790.50
11755 <1% 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 <1% 111 $760.37
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 $737.59
99217 <1% 27 $737.33
84443 Thyroid stimulating hormone (TSH) <1% 295 $708.92
90653 <1% 44 $696.29
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 28 $667.76
90935 Hemodialysis procedure with single evaluation by a physician <1% 25 $665.88
96375 Therapeutic injection; each additional sequential IV push <1% 29 $615.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 783 $612.62
99334 <1% 28 $597.01
J1030 Injection, methylprednisolone acetate, 40 mg <1% 158 $594.22
80048 Basic metabolic panel (calcium, ionized) <1% 423 $516.69
90966 <1% 13 $514.70
99439 <1% 39 $505.73
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 19 $492.43
36416 <1% 755 $478.49
G0008 Administration of influenza virus vaccine <1% 241 $476.17
90633 <1% 131 $475.19
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 24 $473.90
36415 Collection of venous blood by venipuncture <1% 233 $420.11
92020 <1% 52 $411.80
93227 <1% 16 $352.72
87807 <1% 49 $352.22
97035 <1% 48 $342.19
99441 <1% 32 $325.63
84439 <1% 244 $323.35
93925 <1% 20 $318.34
90685 <1% 38 $280.00
81001 <1% 498 $251.12
80050 General health panel <1% 88 $248.93
20610 <1% 14 $242.35
64495 <1% 16 $239.27
92250 <1% 12 $235.81
90661 <1% 12 $227.76
90756 <1% 36 $200.88
11720 <1% 30 $185.57
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 18 $181.50
73030 <1% 13 $168.15
80069 <1% 122 $167.15
99153 Mod sedat endo service >5yrs <1% 37 $140.92
85027 <1% 192 $134.50
92504 <1% 14 $133.13
86140 <1% 194 $127.31
90734 <1% 27 $110.00
92136 <1% 17 $97.91
82607 <1% 66 $97.33
90962 <1% 15 $90.58
90647 <1% 17 $80.00
90700 <1% 14 $80.00
82565 <1% 81 $76.66
82570 <1% 105 $73.49
94760 <1% 856 $51.82
85652 <1% 188 $49.64
90461 <1% 472 $42.00
82728 <1% 51 $37.57
82948 <1% 16 $35.03
83540 <1% 70 $32.07
82043 <1% 37 $29.74
82746 <1% 13 $28.82
83550 <1% 53 $24.08
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 29 $23.97
81000 <1% 17 $23.06
87086 Culture, bacterial; quantitative colony count, urine <1% 31 $22.07
82962 <1% 30 $19.26
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 19 $2.74
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 18 $0.60
90671 <1% 15 $0.13
90656 <1% 33 $0.09
94660 0% 14 $0.00
99024 0% 260 $0.00
82550 0% 14 $0.00
S0280 Medical home program, comprehensive care coordination and planning, initial plan 0% 121 $0.00
1101F 0% 32 $0.00
A4550 Surgical trays 0% 936 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 68 $0.00
99348 0% 13 $0.00
3288F 0% 16 $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 officialSYLAK, TOM (CHIEF OPERATING OFFICER)
Same official

Other billing entities under SYLAK, TOM

Full network →
ProviderLocationPaid
Toledo Clinic IncorporatedToledo, OH$1.98M
Toledo Clinic IncorporatedToledo, OH$813K
Toledo Clinic IncorporatedMonroe, MI$585K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.