Physician
Promedica Multi Specialty Physicians
Promedica Multi Specialty Physicians was paid $1.91M by Medicaid between Jan 2021 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoPROMEDICA MULTI SPECIALTY PHYSICIANS
TOLEDO, OH 43604
TOLEDO, OH 43604
33aNPI1306105150assigned 05/15/2012
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$1.91M
24GClaims61,285
24DCodes billed43
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Ohio
Rank by total paid#2 of 8
Median peer was paid$10K
This provider vs. median199×
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 | |
|---|---|---|---|
| 2021 | 4,430 | $85K | |
| 2022 | 4,124 | $102K | |
| 2023 | 25,453 | $737K | |
| 2024incomplete | 27,278 | $987K |
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 | 25% | 10,597 | 9,752 | $476K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 13,626 | 5,371 | $319K |
| 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% | 10,569 | 8,694 | $313K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.8% | 2,247 | 2,031 | $111K |
| 99460 | 5.5% | 1,499 | 1,395 | $105K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.4% | 3,041 | 2,742 | $104K |
| 99223 | Prolong inpt eval add15 m | 5.1% | 1,668 | 1,521 | $97K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.9% | 2,890 | 2,700 | $94K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.5% | 2,759 | 1,403 | $86K |
| 99221 | 2.5% | 1,535 | 1,396 | $49K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 550 | 485 | $39K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.1% | 1,696 | 1,262 | $20K |
31 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 197 | $15K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,038 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,992 | $12K |
| 99236 | Prolong inpt eval add15 m | <1% | 107 | $7K |
| 95251 | <1% | 451 | $7K | |
| 90837 | Psychotherapy session, about an hour | <1% | 121 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 82 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 342 | $4K |
| 90686 | <1% | 222 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 452 | $3K |
| 91320 | <1% | 25 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 266 | $2K |
| 99235 | <1% | 79 | $2K | |
| 99406 | <1% | 357 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 29 | $2K |
| 99442 | <1% | 125 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 17 | $1K |
| 99462 | <1% | 37 | $1K | |
| 90656 | <1% | 57 | $1K | |
| 82962 | <1% | 859 | $1K | |
| 99463 | <1% | 13 | $957.73 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 105 | $842.87 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $704.04 |
| 87428 | <1% | 21 | $437.81 | |
| 90480 | <1% | 17 | $358.44 | |
| 80061 | Lipid panel | <1% | 60 | $249.63 |
| 36416 | <1% | 143 | $236.23 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 160 | $159.84 |
| 99316 | <1% | 52 | $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) | <1% | 138 | $51.89 |
| 99443 | <1% | 32 | $32.01 |
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 officialMCCUNE, LORRAINE (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| The Toledo Hospital | Maumee, OH | $211K |
| The Toledo Hospital | Toledo, OH | $65K |
| Promedica Central Physicians | Toledo, OH | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.