Clinic
Toledo Clinic Incorporated
Toledo Clinic Incorporated was paid $813K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 54% of everything it billed.
33Billing provider infoTOLEDO CLINIC INCORPORATED
TOLEDO, OH 43623
TOLEDO, OH 43623
33aNPI1386796332assigned 01/18/2007
33bProvider typeClinic/Center
28Total paid$813K
24GClaims6,791
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Ohio
Rank by total paid#14 of 70
Median peer was paid$140K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2018 | 625 | $14K | |
| 2019 | 655 | $15K | |
| 2020 | 240 | $12K | |
| 2021 | 510 | $84K | |
| 2022 | 2,208 | $197K | |
| 2023 | 1,569 | $269K | |
| 2024incomplete | 984 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 54% | 1,709 | 1,515 | $442K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 18% | 836 | 718 | $147K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 14% | 378 | 321 | $118K |
| 36902 | 7.3% | 106 | 87 | $59K | |
| 64483 | 4.6% | 162 | 88 | $37K | |
| 64493 | <1% | 29 | 13 | $8K | |
| 36589 | <1% | 12 | 12 | $2K | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | <1% | 1,877 | 1,580 | $522.78 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | <1% | 1,626 | 1,371 | $75.66 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | <1% | 27 | 27 | $0.02 |
| 64494 | 0% | 29 | 13 | $0.00 |
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 officialSYLAK, TOM (CHIEF OPERATING OFFICER)
Parent organizationTOLEDO CLINIC INC
| Provider | Location | Paid |
|---|---|---|
| Toledo Clinic Incorporated | Toledo, OH | $15.83M |
| Toledo Clinic Incorporated | Toledo, OH | $1.98M |
| Toledo Clinic Incorporated | Monroe, MI | $585K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.