Medicaid Provider Spending

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

NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC

NPI: 1588254650 · TOLEDO, OH 43608 · Children's Hospital · NPI assigned 01/22/2021

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

Authorized official MILLER, RICHARD controls 20+ related entities in our dataset. Read more

$12.53M
Total Medicaid Paid
173,983
Total Claims
111,810
Beneficiaries
152
Codes Billed
2022-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, RICHARD (PRESIDENT)
NPI Enumeration Date01/22/2021

Related Entities

Other providers sharing the same authorized official: MILLER, RICHARD

ProviderCityStateTotal Paid
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $42.17M
NASSAU HEALTH CARE CORPORATION UNIONDALE NY $11.59M
OHIO PEDIATRIC CARE ALLIANCE PHYSICIANS, LLC SPRINGFIELD OH $5.50M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $5.34M
NORTHWEST PEDIATRIC SPECIALISTS, LLC TOLEDO OH $4.44M
SUNY HEALTH SCIENCE CENTER AT BKLYN BROOKLYN NY $2.99M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.99M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.72M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.29M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $605K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $554K
NORTHWEST CHILDREN'S COMMUNITY PRACTICES II, LLC TOLEDO OH $542K
SOUTHWEST MS NEPHROLOGY, PLLC BROOKHAVEN MS $471K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $318K
PULMONARY & CRITICAL CARE ASSOCIATES NEWARK NJ $314K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $302K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $151K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $146K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $102K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $97K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 14,307 $647K
2023 80,010 $6.42M
2024 79,666 $5.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 37,041 29,015 $4.11M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 17,579 5,730 $1.25M
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,152 3,684 $1.19M
97530 Therapeutic activities, direct patient contact, each 15 minutes 12,262 4,071 $920K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 486 280 $673K
42820 Tonsillectomy and adenoidectomy; younger than age 12 450 279 $444K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,520 1,849 $349K
G0378 Hospital observation service, per hour 3,162 1,094 $345K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,401 3,543 $332K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,034 2,644 $249K
96361 Intravenous infusion, hydration; each additional hour 792 324 $242K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,128 2,527 $238K
95812 199 163 $188K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 620 490 $169K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,714 1,395 $146K
97535 Self-care/home management training, each 15 minutes 2,871 1,308 $138K
92587 2,009 1,595 $125K
95714 91 40 $87K
94010 1,509 1,041 $87K
93325 1,022 754 $85K
95816 401 286 $73K
93304 290 233 $72K
96127 874 681 $70K
96161 512 383 $63K
90791 Psychiatric diagnostic evaluation 292 249 $61K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 100 79 $56K
97116 1,218 514 $46K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 366 349 $42K
92567 1,040 857 $32K
99381 391 355 $27K
42830 44 25 $25K
00170 Anesthesia for intraoral procedures, including biopsy 925 563 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 189 178 $23K
99383 289 260 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 188 181 $20K
G0008 Administration of influenza virus vaccine 2,036 1,447 $20K
97162 232 206 $20K
92579 341 278 $18K
90670 1,984 1,209 $18K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,547 1,202 $17K
92557 269 232 $17K
31575 133 116 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,069 1,759 $15K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 66 38 $14K
90633 2,287 1,575 $14K
97165 128 116 $14K
95700 90 65 $13K
99384 160 135 $13K
92523 151 125 $13K
G0009 Administration of pneumococcal vaccine 2,007 1,220 $12K
90698 1,821 1,297 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 114 51 $10K
97802 118 113 $10K
97166 89 69 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 39 27 $9K
94664 355 221 $9K
90686 1,860 1,339 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 68 67 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 637 398 $8K
90697 1,282 870 $8K
92609 102 31 $8K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 754 467 $7K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 187 76 $7K
93320 612 489 $7K
90651 1,284 898 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 5,259 4,412 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 116 87 $6K
95711 76 27 $6K
90680 2,043 1,433 $6K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 367 209 $6K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 42 25 $6K
90716 904 620 $6K
29065 51 45 $5K
90677 1,811 1,506 $5K
90696 980 736 $5K
90472 Immunization administration, each additional vaccine (list separately) 1,950 1,123 $5K
J3590 Unclassified biologics 70 15 $5K
90710 1,171 849 $4K
69210 334 263 $4K
90832 Psychotherapy, 30 minutes with patient 54 51 $4K
90734 1,189 841 $4K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 313 132 $4K
90620 490 344 $4K
J2704 Injection, propofol, 10 mg 2,338 1,278 $3K
90707 889 612 $3K
90744 609 472 $3K
29075 25 25 $3K
90700 732 504 $3K
G0010 Administration of hepatitis b vaccine 242 142 $3K
93321 120 75 $3K
J3490 Unclassified drugs 92 36 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 418 160 $2K
90715 626 455 $2K
90656 512 503 $2K
83036 Hemoglobin; glycosylated (A1C) 718 608 $2K
90648 392 300 $2K
96375 Therapeutic injection; each additional sequential IV push 379 213 $2K
92652 12 12 $2K
97167 13 13 $2K
73110 65 45 $2K
99382 46 36 $2K
90661 206 201 $1K
97750 19 12 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
80053 Comprehensive metabolic panel 159 83 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 747 670 $1K
81003 806 668 $1K
J7120 Ringers lactate infusion, up to 1000 cc 1,842 1,129 $942.14
90674 125 101 $927.14
85025 Blood count; complete (CBC), automated, and automated differential WBC count 303 175 $871.03
81001 357 272 $639.18
G0379 Direct admission of patient for hospital observation care 36 21 $630.64
96376 304 137 $599.64
90381 96 96 $534.24
87428 53 44 $503.05
97161 15 12 $438.20
90380 87 70 $397.43
36415 Collection of venous blood by venipuncture 631 496 $317.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,790 1,106 $265.59
94760 1,184 766 $261.59
73080 15 12 $257.12
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 25 15 $245.52
00126 97 41 $183.43
85027 47 32 $182.42
J3010 Injection, fentanyl citrate, 0.1 mg 2,299 1,291 $176.19
90681 32 32 $157.08
81025 150 127 $140.58
92552 13 13 $135.01
85018 404 368 $125.38
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,601 964 $119.90
88305 Level IV - Surgical pathology, gross and microscopic examination 259 151 $117.51
90480 137 120 $83.88
92582 24 15 $80.70
J1885 Injection, ketorolac tromethamine, per 15 mg 310 158 $55.99
81002 200 182 $54.03
90658 15 15 $36.85
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 34 22 $34.60
J2270 Injection, morphine sulfate, up to 10 mg 25 15 $22.31
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 19 $13.69
A9576 Injection, gadoteridol, (prohance multipack), per ml 68 39 $10.76
J2250 Injection, midazolam hydrochloride, per 1 mg 228 163 $7.23
J0690 Injection, cefazolin sodium, 500 mg 24 13 $2.76
J7030 Infusion, normal saline solution , 1000 cc 63 45 $2.70
J7050 Infusion, normal saline solution, 250 cc 44 14 $1.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 256 170 $0.21
91321 38 29 $0.05
94761 119 114 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 98 80 $0.00
92551 13 13 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 13 $0.00
00731 53 49 $0.00
92504 46 43 $0.00