Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROMEDICA CHILDREN'S SPECIALISTS

NPI: 1245444959 · TOLEDO, OH 43604 · Pediatric Surgery Physician · NPI assigned 05/10/2007

$3.93M
Total Medicaid Paid
98,306
Total Claims
91,774
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWINES, TANYA (DIRECTOR)
NPI Enumeration Date05/10/2007

Related Entities

Other providers sharing the same authorized official: WINES, TANYA

ProviderCityStateTotal Paid
PROMEDICA CENTRAL PHYSICIANS TOLEDO OH $40.73M
PROMEDICA CENTRAL CORPORATION OF MICHIGAN TOLEDO OH $14.22M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,356 $498K
2019 13,708 $541K
2020 10,865 $399K
2021 13,332 $516K
2022 14,738 $568K
2023 16,790 $671K
2024 15,517 $734K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,701 31,062 $1.91M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,355 4,102 $330K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 6,506 6,115 $296K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,872 6,599 $260K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,540 4,374 $213K
90837 Psychotherapy, 53 minutes with patient 2,071 915 $199K
99244 Office or other outpatient consultation, moderate to high complexity 2,586 2,563 $190K
99215 Prolong outpt/office vis 1,276 1,218 $100K
93320 6,491 6,099 $93K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13,375 12,782 $87K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,113 1,092 $59K
94010 3,261 3,017 $32K
95251 1,145 1,083 $27K
93325 7,060 6,597 $23K
83036 Hemoglobin; glycosylated (A1C) 3,056 2,911 $19K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 281 166 $18K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 56 24 $16K
99232 Subsequent hospital care, per day, moderate complexity 562 196 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 82 81 $9K
95810 Polysomnography; sleep staging with 4 or more additional parameters 44 43 $8K
99233 Prolong inpt eval add15 m 133 62 $5K
94777 148 133 $5K
99205 Prolong outpt/office vis 41 40 $4K
94060 131 127 $3K
94617 41 39 $2K
93304 79 73 $2K
73100 125 91 $1K
94726 69 67 $1K
76825 12 12 $1K
99443 17 16 $639.15
93272 26 25 $524.80
99243 13 12 $427.28
99442 12 12 $416.81
99441 13 13 $231.70
73080 13 13 $138.15