Medicaid Provider Spending

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

PROMEDICA MONROE PHYSICIANS PLLC

NPI: 1194078055 · TOLEDO, OH 43604 · Internal Medicine Physician · NPI assigned 10/17/2012

$4.66M
Total Medicaid Paid
83,813
Total Claims
73,665
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKNUEVEN, KRISTIN (CREDENTIALING SUPERVISOR)
NPI Enumeration Date10/17/2012

Related Entities

Other providers sharing the same authorized official: KNUEVEN, KRISTIN

ProviderCityStateTotal Paid
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC TOLEDO OH $2.57M
PROMEDICA GENITO-URINARY SURGEONS LLC TOLEDO OH $414K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,465 $362K
2019 7,357 $379K
2020 9,635 $486K
2021 12,376 $700K
2022 13,352 $766K
2023 17,220 $995K
2024 16,408 $968K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,691 15,888 $1.29M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,551 13,468 $736K
99232 Subsequent hospital care, per day, moderate complexity 7,612 3,646 $295K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,570 4,521 $274K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,836 2,815 $273K
99233 Prolong inpt eval add15 m 4,418 2,191 $258K
99223 Prolong inpt eval add15 m 2,107 2,015 $213K
99239 Hospital discharge day management, more than 30 minutes 3,281 3,097 $188K
99222 Initial hospital care, per day, moderate complexity 2,506 2,325 $177K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,092 1,089 $110K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 910 888 $68K
99215 Prolong outpt/office vis 602 559 $65K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 682 678 $62K
20610 2,186 1,852 $61K
90460 Immunization administration through 18 years of age via any route, first or only component 1,469 1,444 $55K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 888 881 $54K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 567 564 $50K
45380 Colonoscopy, flexible; with biopsy, single or multiple 390 389 $36K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,583 1,082 $35K
99238 Hospital discharge day management, 30 minutes or less 836 817 $35K
99219 428 414 $30K
99217 735 712 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 732 709 $23K
99220 230 224 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 221 219 $19K
90837 Psychotherapy, 53 minutes with patient 214 139 $16K
99221 291 272 $13K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,938 1,868 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,105 1,097 $12K
90686 859 859 $11K
87428 341 336 $11K
90677 322 322 $9K
73564 326 264 $8K
99385 67 67 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 163 161 $6K
73030 326 299 $6K
90834 Psychotherapy, 45 minutes with patient 109 78 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 58 58 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 683 629 $5K
00840 88 87 $5K
83036 Hemoglobin; glycosylated (A1C) 654 653 $4K
99236 Prolong inpt eval add15 m 40 25 $4K
73110 178 155 $4K
99235 41 29 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 291 288 $3K
90750 24 24 $3K
99383 30 30 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 27 27 $3K
73560 156 149 $3K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 51 46 $2K
99381 27 27 $2K
00731 67 67 $2K
99442 104 102 $2K
99386 13 13 $2K
20611 40 37 $1K
43235 25 25 $1K
90688 81 81 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 26 21 $1K
99205 Prolong outpt/office vis 12 12 $1K
90656 133 133 $1K
01938 43 41 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 36 36 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 65 38 $1K
73610 56 52 $995.26
73130 43 37 $941.77
83655 86 86 $906.25
99177 292 292 $886.28
99443 38 38 $832.28
00811 25 25 $786.18
99460 13 13 $778.67
96380 38 38 $773.88
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 44 40 $647.91
90632 12 12 $644.49
99225 55 38 $429.43
99188 61 60 $415.35
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) 364 352 $411.95
01937 12 12 $341.72
87807 32 32 $333.91
85018 134 134 $271.60
90472 Immunization administration, each additional vaccine (list separately) 24 24 $253.33
90715 12 12 $199.95
99226 18 13 $182.21
99441 15 15 $113.27
96127 29 29 $86.72
92558 51 49 $51.52
81002 14 13 $41.57
90670 143 143 $0.00
90648 428 428 $0.00
90681 65 65 $0.00
90633 90 90 $0.00
90700 13 13 $0.00
90680 126 126 $0.00
90723 303 302 $0.00