Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › TOLEDO › PROMEDICA CENTRAL CORPORATION OF MICHIGAN

PROMEDICA CENTRAL CORPORATION OF MICHIGAN

NPI: 1588624696 · TOLEDO, OH 43604 · Pediatrics Physician · NPI assigned 03/23/2006

$14.22M
Total Medicaid Paid
289,791
Total Claims
270,399
Beneficiaries
170
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWINES, TANYA (DIRECTOR, SYSTEM CREDENTIALING)
NPI Enumeration Date03/23/2006

Related Entities

Other providers sharing the same authorized official: WINES, TANYA

ProviderCityStateTotal Paid
PROMEDICA CENTRAL PHYSICIANS TOLEDO OH $40.73M
PROMEDICA CHILDREN'S SPECIALISTS TOLEDO OH $3.93M
PROMEDICA CENTRAL PHYSICIANS HOLLAND OH $524K
PROMEDICA CENTRAL CORPORATION OF MICHIGAN TECUMSEH MI $158K
PROMEDICA MONROE CARDIOLOGY, PLLC MONROE MI $138K
PROMEDICA CENTRAL PHYSICIANS OREGON OH $29K
PROMEDICA CENTRAL PHYSICIANS PERRYSBURG OH $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,345 $1.17M
2019 37,335 $1.56M
2020 32,064 $1.42M
2021 44,583 $2.13M
2022 49,058 $2.41M
2023 56,901 $3.06M
2024 44,505 $2.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68,357 61,683 $3.69M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 43,503 40,426 $3.28M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 821 816 $630K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,270 6,184 $602K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,943 6,880 $440K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,012 5,513 $430K
59426 479 478 $412K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,000 4,989 $402K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,500 4,450 $380K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,664 3,626 $345K
90460 Immunization administration through 18 years of age via any route, first or only component 11,452 11,274 $306K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,049 3,047 $245K
90837 Psychotherapy, 53 minutes with patient 2,682 1,368 $209K
99215 Prolong outpt/office vis 1,942 1,873 $209K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,307 2,302 $201K
90834 Psychotherapy, 45 minutes with patient 3,917 2,191 $198K
87428 5,070 4,922 $157K
59430 758 758 $156K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,053 3,930 $140K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,894 1,874 $127K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 420 376 $98K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,138 1,131 $90K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,876 5,723 $75K
20610 2,368 1,795 $72K
76830 Ultrasound, transvaginal 954 952 $68K
59025 Fetal non-stress test 3,486 1,963 $60K
90651 1,199 1,198 $58K
90715 2,469 2,460 $56K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,219 5,134 $54K
76801 773 767 $54K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 52 52 $50K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,007 967 $49K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,981 4,951 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,879 5,466 $47K
90686 5,032 5,012 $44K
90832 Psychotherapy, 30 minutes with patient 1,041 668 $39K
99381 478 477 $38K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 579 540 $38K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 262 260 $32K
69210 1,198 1,168 $29K
99460 517 512 $28K
81025 4,232 4,182 $28K
83036 Hemoglobin; glycosylated (A1C) 4,364 4,351 $28K
99442 951 922 $22K
99238 Hospital discharge day management, 30 minutes or less 490 475 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,217 824 $21K
99205 Prolong outpt/office vis 145 145 $18K
90677 826 824 $18K
00840 263 202 $18K
99385 179 179 $18K
73630 1,040 886 $16K
99308 Subsequent nursing facility care, per day, straightforward 333 304 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity 297 263 $14K
90791 Psychiatric diagnostic evaluation 105 104 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 390 388 $13K
99383 127 126 $11K
94060 636 629 $11K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 12 12 $10K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,073 1,850 $10K
00170 Anesthesia for intraoral procedures, including biopsy 235 120 $10K
93000 1,190 1,160 $10K
36415 Collection of venous blood by venipuncture 2,702 2,623 $8K
00731 227 205 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 621 609 $8K
81002 3,135 3,068 $8K
96127 2,630 2,575 $8K
99496 52 51 $8K
J1040 Injection, methylprednisolone acetate, 80 mg 627 616 $7K
90670 3,251 3,240 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 170 167 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 163 163 $6K
99441 508 498 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 139 139 $6K
99382 66 66 $6K
99443 215 205 $6K
00790 70 55 $5K
00811 152 108 $5K
42820 Tonsillectomy and adenoidectomy; younger than age 12 29 29 $5K
58300 89 89 $5K
99406 642 621 $5K
54150 69 69 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 85 83 $4K
99499 69 64 $4K
90750 30 29 $4K
99384 38 38 $3K
73610 205 181 $3K
99310 Prolong nursin fac eval 15m 38 38 $3K
90656 325 325 $3K
87807 286 279 $3K
81003 1,785 1,750 $3K
0012A 75 75 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 41 41 $3K
0011A 75 75 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 306 303 $2K
73562 114 94 $2K
99188 260 260 $2K
83655 182 182 $2K
90472 Immunization administration, each additional vaccine (list separately) 138 137 $2K
80053 Comprehensive metabolic panel 187 186 $2K
90792 Psychiatric diagnostic evaluation with medical services 15 15 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $2K
0064A 41 41 $2K
84443 Thyroid stimulating hormone (TSH) 111 111 $2K
80061 Lipid panel 137 137 $2K
81001 589 581 $2K
00813 33 32 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,265 1,201 $1K
99177 577 575 $1K
01961 15 12 $1K
00812 43 30 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 44 43 $1K
90847 Family psychotherapy with the patient present, 50 minutes 21 14 $1K
99334 33 32 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 433 419 $1K
73100 63 47 $1K
99386 12 12 $979.50
73030 60 54 $906.00
36416 482 480 $875.31
87210 185 183 $824.92
J1885 Injection, ketorolac tromethamine, per 15 mg 443 429 $799.55
90707 821 821 $739.25
01937 25 24 $690.81
93016 54 51 $646.59
90716 816 816 $645.41
01938 25 25 $638.45
98928 15 14 $624.85
11721 29 27 $619.77
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 620 600 $613.74
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 69 66 $602.11
71046 Radiologic examination, chest; 2 views 43 42 $545.34
93018 52 50 $421.44
90688 23 23 $382.71
90620 75 74 $367.60
85018 182 182 $363.27
96160 546 533 $347.77
96380 16 16 $318.47
99231 Subsequent hospital care, per day, straightforward or low complexity 12 12 $296.86
90734 861 860 $257.70
73560 17 12 $251.54
73130 12 12 $226.94
99051 106 106 $167.00
90694 54 54 $157.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 180 151 $153.10
82044 28 28 $141.26
96161 57 57 $102.26
84439 13 13 $99.60
80305 13 13 $84.79
90685 117 116 $65.43
82962 12 12 $20.45
S9470 Nutritional counseling, dietitian visit 12 12 $5.00
90680 1,800 1,797 $0.00
91301 231 230 $0.00
90696 416 415 $0.00
90723 2,989 2,982 $0.00
90698 28 28 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 123 123 $0.00
91306 42 42 $0.00
G0008 Administration of influenza virus vaccine 153 153 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 44 44 $0.00
91307 22 22 $0.00
90744 15 15 $0.00
90700 724 724 $0.00
90710 441 440 $0.00
90648 3,446 3,438 $0.00
T1015 Clinic visit/encounter, all-inclusive 513 458 $0.00
90461 682 670 $0.00
90633 1,849 1,848 $0.00
90380 15 15 $0.00
90681 223 222 $0.00
0502F 14 13 $0.00