Medicaid Provider Spending

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

TOMA & YALDO MEDICAL CENTER PC

NPI: 1487294054 · STERLING HEIGHTS, MI 48310 · Internal Medicine Physician · NPI assigned 01/13/2020

$1.47M
Total Medicaid Paid
35,796
Total Claims
34,423
Beneficiaries
30
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOMA, RAAD (OWNER/PROVIDER)
NPI Enumeration Date01/13/2020

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,045 9,134 $535K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,650 4,512 $349K
99215 Prolong outpt/office vis 2,943 2,909 $298K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,387 1,382 $124K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 951 950 $75K
36415 Collection of venous blood by venipuncture 6,858 6,773 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,805 1,708 $15K
99401 359 354 $8K
93000 988 980 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 166 162 $6K
99205 Prolong outpt/office vis 40 40 $5K
90756 326 324 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 403 403 $4K
81002 1,620 1,578 $3K
96160 1,651 1,644 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 243 235 $2K
99385 13 13 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 401 390 $681.11
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 473 465 $631.27
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $620.93
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $532.76
J1010 Injection, methylprednisolone acetate, 1 mg 91 87 $357.44
83013 13 12 $278.85
98967 36 36 $120.10
96127 26 26 $68.07
99000 23 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 12 12 $36.00
90674 53 53 $29.94
3008F 141 141 $0.01
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 51 49 $0.00