Physician
Promedica Monroe Physicians PLLC
Promedica Monroe Physicians PLLC was paid $4.66M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoPROMEDICA MONROE PHYSICIANS PLLC
TOLEDO, OH 43604
TOLEDO, OH 43604
33aNPI1194078055assigned 10/17/2012
33bProvider typeInternal Medicine Physician
28Total paid$4.66M
24GClaims83,813
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#11 of 663
Median peer was paid$17K
This provider vs. median267×
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 | 7,465 | $362K | |
| 2019 | 7,357 | $379K | |
| 2020 | 9,635 | $486K | |
| 2021 | 12,376 | $700K | |
| 2022 | 13,352 | $766K | |
| 2023 | 17,220 | $995K | |
| 2024incomplete | 16,408 | $968K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 16,691 | 15,888 | $1.29M |
| 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% | 14,551 | 13,468 | $736K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 7,612 | 3,646 | $295K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 4,570 | 4,521 | $274K |
| 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 | 5.9% | 2,836 | 2,815 | $273K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.5% | 4,418 | 2,191 | $258K |
| 99223 | Prolong inpt eval add15 m | 4.6% | 2,107 | 2,015 | $213K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.0% | 3,281 | 3,097 | $188K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.8% | 2,506 | 2,325 | $177K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 1,092 | 1,089 | $110K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 910 | 888 | $68K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 602 | 559 | $65K |
81 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 682 | $62K |
| 20610 | 1.3% | 2,186 | $61K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 1,469 | $55K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 888 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 567 | $50K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 390 | $36K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,583 | $35K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 836 | $35K |
| 99219 | <1% | 428 | $30K | |
| 99217 | <1% | 735 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 732 | $23K |
| 99220 | <1% | 230 | $21K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 221 | $19K |
| 90837 | Psychotherapy session, about an hour | <1% | 214 | $16K |
| 99221 | <1% | 291 | $13K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,938 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,105 | $12K |
| 90686 | <1% | 859 | $11K | |
| 87428 | <1% | 341 | $11K | |
| 90677 | <1% | 322 | $9K | |
| 73564 | <1% | 326 | $8K | |
| 99385 | <1% | 67 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 163 | $6K |
| 73030 | <1% | 326 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 109 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 58 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 683 | $5K |
| 00840 | <1% | 88 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 654 | $4K |
| 99236 | Prolong inpt eval add15 m | <1% | 40 | $4K |
| 73110 | <1% | 178 | $4K | |
| 99235 | <1% | 41 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 291 | $3K |
| 90750 | <1% | 24 | $3K | |
| 99383 | <1% | 30 | $3K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 27 | $3K |
| 73560 | <1% | 156 | $3K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 51 | $2K |
| 99381 | <1% | 27 | $2K | |
| 00731 | <1% | 67 | $2K | |
| 99442 | <1% | 104 | $2K | |
| 99386 | <1% | 13 | $2K | |
| 20611 | <1% | 40 | $1K | |
| 43235 | <1% | 25 | $1K | |
| 90688 | <1% | 81 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 26 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 90656 | <1% | 133 | $1K | |
| 01938 | <1% | 43 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 36 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | $1K |
| 73610 | <1% | 56 | $995.26 | |
| 73130 | <1% | 43 | $941.77 | |
| 83655 | <1% | 86 | $906.25 | |
| 99177 | <1% | 292 | $886.28 | |
| 99443 | <1% | 38 | $832.28 | |
| 00811 | <1% | 25 | $786.18 | |
| 99460 | <1% | 13 | $778.67 | |
| 96380 | <1% | 38 | $773.88 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 44 | $647.91 |
| 90632 | <1% | 12 | $644.49 | |
| 99225 | <1% | 55 | $429.43 | |
| 99188 | <1% | 61 | $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) | <1% | 364 | $411.95 |
| 01937 | <1% | 12 | $341.72 | |
| 87807 | <1% | 32 | $333.91 | |
| 85018 | <1% | 134 | $271.60 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24 | $253.33 |
| 90715 | <1% | 12 | $199.95 | |
| 99226 | <1% | 18 | $182.21 | |
| 99441 | <1% | 15 | $113.27 | |
| 96127 | <1% | 29 | $86.72 | |
| 92558 | <1% | 51 | $51.52 | |
| 81002 | <1% | 14 | $41.57 | |
| 90670 | 0% | 143 | $0.00 | |
| 90648 | 0% | 428 | $0.00 | |
| 90681 | 0% | 65 | $0.00 | |
| 90633 | 0% | 90 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90680 | 0% | 126 | $0.00 | |
| 90723 | 0% | 303 | $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 officialKNUEVEN, KRISTIN (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Promedica Northwest Ohio Cardiology Consultants, LLC | Toledo, OH | $2.57M |
| Promedica Genito-Urinary Surgeons LLC | Toledo, OH | $414K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.