Medicaid Provider Spending

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

TOLEDO PAIN SERVICES, PLL

NPI: 1356339857 · TOLEDO, OH 43617 · Interventional Pain Medicine Physician · NPI assigned 10/10/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, WILLIAM controls 11+ related entities in our dataset. Read more

$2.33M
Total Medicaid Paid
103,238
Total Claims
56,214
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, WILLIAM (MEDICAL DIRECTOR)
NPI Enumeration Date10/10/2005

Related Entities

Other providers sharing the same authorized official: JAMES, WILLIAM

ProviderCityStateTotal Paid
CHEROKEE COUNTY SCHOOL DISTRICT GAFFNEY SC $1.96M
GRAND MESA SPINE AND SPORT LLC GRAND JUNCTION CO $1.71M
PT LINK LLC TOLEDO OH $1.39M
WEST CENTRAL SURGICAL CENTER, LLC TOLEDO OH $101K
SOUTH SHORE COUNSELING AND PSYCHOLOGICAL SERVICES P C WANTAGH NY $100K
EL PASO-GRIDLEY CUSD #11 EL PASO IL $61K
WEST CENTRAL SURGICAL CENTER, LLC TOLEDO OH $56K
WEST CENTRAL SURGICAL CENTER-BAYSIDE OREGON OH $41K
DESOTO PHYSICAL THERAPY, L.L.C. STONEWALL LA $19K
WEST CENTRAL SURGICAL CENTER-BAYSIDE OREGON OH $3K
BENTON PHYSICAL THERAPY, LLC BENTON LA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,853 $428K
2019 2,007 $38K
2020 20,072 $436K
2021 18,023 $394K
2022 17,599 $433K
2023 14,789 $306K
2024 10,895 $291K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,954 26,045 $1.04M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 20,775 5,353 $553K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,617 6,884 $176K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,052 5,584 $173K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 20,314 5,295 $147K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 12,589 3,422 $95K
90791 Psychiatric diagnostic evaluation 771 679 $40K
97032 905 306 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 379 344 $21K
64635 181 150 $10K
62323 133 122 $8K
96101 174 155 $5K
97162 123 121 $5K
64483 125 84 $4K
64636 148 124 $4K
90837 Psychotherapy, 53 minutes with patient 76 54 $3K
97014 913 267 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,786 494 $3K
97161 129 125 $2K
62321 30 29 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 109 98 $2K
27096 15 12 $2K
99205 Prolong outpt/office vis 14 13 $1K
90834 Psychotherapy, 45 minutes with patient 20 17 $695.96
20610 31 31 $647.52
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 67 67 $584.47
97116 46 12 $541.91
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 532 151 $427.47
96130 15 14 $296.27
97150 Therapeutic procedure(s), group (2 or more individuals) 85 47 $230.33
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 37 33 $229.20
96102 40 35 $177.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg 21 21 $3.92
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) 32 26 $0.00