Physician
Promedica Children's Specialists
Promedica Children's Specialists was paid $3.93M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoPROMEDICA CHILDREN'S SPECIALISTS
TOLEDO, OH 43604
TOLEDO, OH 43604
33aNPI1245444959assigned 05/10/2007
33bProvider typePediatric Surgery Physician
28Total paid$3.93M
24GClaims98,306
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
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 | 13,356 | $498K | |
| 2019 | 13,708 | $541K | |
| 2020 | 10,865 | $399K | |
| 2021 | 13,332 | $516K | |
| 2022 | 14,738 | $568K | |
| 2023 | 16,790 | $671K | |
| 2024incomplete | 15,517 | $734K |
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 | 49% | 32,701 | 31,062 | $1.91M |
| 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 | 8.4% | 4,355 | 4,102 | $330K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 7.5% | 6,506 | 6,115 | $296K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 6,872 | 6,599 | $260K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.4% | 4,540 | 4,374 | $213K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.1% | 2,071 | 915 | $199K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.8% | 2,586 | 2,563 | $190K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 1,276 | 1,218 | $100K |
| 93320 | 2.4% | 6,491 | 6,099 | $93K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.2% | 13,375 | 12,782 | $87K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 1,113 | 1,092 | $59K |
| 94010 | <1% | 3,261 | 3,017 | $32K |
23 more codes
| 95251 | <1% | 1,145 | $27K | |
| 93325 | <1% | 7,060 | $23K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,056 | $19K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 281 | $18K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 56 | $16K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 562 | $14K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 82 | $9K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 44 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 133 | $5K |
| 94777 | <1% | 148 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 41 | $4K |
| 94060 | <1% | 131 | $3K | |
| 94617 | <1% | 41 | $2K | |
| 93304 | <1% | 79 | $2K | |
| 73100 | <1% | 125 | $1K | |
| 94726 | <1% | 69 | $1K | |
| 76825 | <1% | 12 | $1K | |
| 99443 | <1% | 17 | $639.15 | |
| 93272 | <1% | 26 | $524.80 | |
| 99243 | <1% | 13 | $427.28 | |
| 99442 | <1% | 12 | $416.81 | |
| 99441 | <1% | 13 | $231.70 | |
| 73080 | <1% | 13 | $138.15 |
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 officialWINES, TANYA (DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.