Toma & Yaldo Medical Center PC

Toma & Yaldo Medical Center PC was paid $1.47M by Medicaid between Jul 2020 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoTOMA & YALDO MEDICAL CENTER PC
STERLING HEIGHTS, MI 48310

33aNPI1487294054assigned 01/13/2020

33bProvider typeInternal Medicine Physician

28Total paid$1.47M

24GClaims35,796

24DCodes billed30

24AFirst – last monthJul 2020 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Michigan

Rank by total paid#85 of 816

Median peer was paid$70K

This provider vs. median21×

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
2020	2,364	$36K
2021	5,928	$236K
2022	9,751	$398K
2023	10,134	$448K
2024incomplete	7,619	$349K

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	37%	10,045	9,134	$535K
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	24%	4,650	4,512	$349K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	20%	2,943	2,909	$298K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	8.5%	1,387	1,382	$124K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	5.1%	951	950	$75K
36415	Collection of venous blood by venipuncture	1.7%	6,858	6,773	$25K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.0%	1,805	1,708	$15K
99401		<1%	359	354	$8K
93000		<1%	988	980	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	166	162	$6K
99205	Prolong outpt/office vis	<1%	40	40	$5K
90756		<1%	326	324	$4K

18 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	403	$4K
81002		<1%	1,620	$3K
96160		<1%	1,651	$3K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	243	$2K
99385		<1%	13	$1K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	401	$681.11
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	473	$631.27
99204	Doctor's office visit, new patient (more involved)	<1%	12	$620.93
99203	Doctor's office visit, new patient (routine)	<1%	16	$532.76
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	91	$357.44
83013		<1%	13	$278.85
98967		<1%	36	$120.10
96127		<1%	26	$68.07
99000		<1%	23	$65.35
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	<1%	12	$36.00
90674		<1%	53	$29.94
3008F		<1%	141	$0.01
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	51	$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 officialTOMA, RAAD (OWNER/PROVIDER)