Clinic
Promedica Central Physicians
Promedica Central Physicians was paid $38K by Medicaid between Feb 2023 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoPROMEDICA CENTRAL PHYSICIANS
TOLEDO, OH 43606
TOLEDO, OH 43606
33aNPI1396273405assigned 06/02/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$38K
24GClaims1,024
24DCodes billed3
24AFirst – last monthFeb 2023 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Ohio
Rank by total paid#68 of 95
Median peer was paid$201K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 554 | $21K | |
| 2024incomplete | 470 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 92% | 868 | 820 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.8% | 108 | 61 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 48 | 36 | $476.16 |
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 COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Promedica Multi Specialty Physicians | Toledo, OH | $1.91M |
| The Toledo Hospital | Maumee, OH | $211K |
| The Toledo Hospital | Toledo, OH | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.