Medicaid Provider Spending

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

PROMEDICA MULTI SPECIALTY PHYSICIANS

NPI: 1306105150 · TOLEDO, OH 43604 · Sports Medicine (Family Medicine) Physician · NPI assigned 05/15/2012

$1.91M
Total Medicaid Paid
61,285
Total Claims
46,103
Beneficiaries
43
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCUNE, LORRAINE (CREDENTIALING SPECIALIST)
NPI Enumeration Date05/15/2012

Related Entities

Other providers sharing the same authorized official: MCCUNE, LORRAINE

ProviderCityStateTotal Paid
THE TOLEDO HOSPITAL MAUMEE OH $211K
THE TOLEDO HOSPITAL TOLEDO OH $65K
PROMEDICA CENTRAL PHYSICIANS TOLEDO OH $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 4,430 $85K
2022 4,124 $102K
2023 25,453 $737K
2024 27,278 $987K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,597 9,752 $476K
99232 Subsequent hospital care, per day, moderate complexity 13,626 5,371 $319K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,569 8,694 $313K
99222 Initial hospital care, per day, moderate complexity 2,247 2,031 $111K
99460 1,499 1,395 $105K
99239 Hospital discharge day management, more than 30 minutes 3,041 2,742 $104K
99223 Prolong inpt eval add15 m 1,668 1,521 $97K
99238 Hospital discharge day management, 30 minutes or less 2,890 2,700 $94K
99233 Prolong inpt eval add15 m 2,759 1,403 $86K
99221 1,535 1,396 $49K
99215 Prolong outpt/office vis 550 485 $39K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,696 1,262 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 197 188 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,038 440 $14K
83036 Hemoglobin; glycosylated (A1C) 2,992 2,861 $12K
99236 Prolong inpt eval add15 m 107 90 $7K
95251 451 432 $7K
90837 Psychotherapy, 53 minutes with patient 121 86 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 82 76 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 342 308 $4K
90686 222 203 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 452 371 $3K
91320 25 22 $2K
99308 Subsequent nursing facility care, per day, straightforward 266 245 $2K
99235 79 27 $2K
99406 357 331 $2K
90834 Psychotherapy, 45 minutes with patient 29 24 $2K
99442 125 82 $2K
99244 Office or other outpatient consultation, moderate to high complexity 17 12 $1K
99462 37 27 $1K
90656 57 56 $1K
82962 859 807 $1K
99463 13 12 $957.73
99310 Prolong nursin fac eval 15m 105 74 $842.87
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $704.04
87428 21 17 $437.81
90480 17 15 $358.44
80061 Lipid panel 60 60 $249.63
36416 143 139 $236.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 160 132 $159.84
99316 52 47 $157.20
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) 138 128 $51.89
99443 32 27 $32.01