Physician
Promedica Central Corporation of Michigan
Promedica Central Corporation of Michigan was paid $14.22M by Medicaid between Jan 2018 and Dec 2024, across 170 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoPROMEDICA CENTRAL CORPORATION OF MICHIGAN
TOLEDO, OH 43604
TOLEDO, OH 43604
33aNPI1588624696assigned 03/23/2006
33bProvider typePediatrics Physician
28Total paid$14.22M
24GClaims289,791
24DCodes billed170
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#6 of 401
Median peer was paid$30K
This provider vs. median482×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 44,505 | $2.48M |
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 | 26% | 68,357 | 61,683 | $3.69M |
| 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 | 23% | 43,503 | 40,426 | $3.28M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 4.4% | 821 | 816 | $630K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.2% | 6,270 | 6,184 | $602K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 6,943 | 6,880 | $440K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 6,012 | 5,513 | $430K |
| 59426 | 2.9% | 479 | 478 | $412K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 5,000 | 4,989 | $402K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 4,500 | 4,450 | $380K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 3,664 | 3,626 | $345K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 11,452 | 11,274 | $306K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 3,049 | 3,047 | $245K |
158 more codes
| 90837 | Psychotherapy session, about an hour | 1.5% | 2,682 | $209K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.5% | 1,942 | $209K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 2,307 | $201K |
| 90834 | Psychotherapy session, about 45 minutes | 1.4% | 3,917 | $198K |
| 87428 | 1.1% | 5,070 | $157K | |
| 59430 | 1.1% | 758 | $156K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,053 | $140K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,894 | $127K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 420 | $98K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,138 | $90K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,876 | $75K |
| 20610 | <1% | 2,368 | $72K | |
| 76830 | Ultrasound, transvaginal | <1% | 954 | $68K |
| 59025 | Fetal non-stress test | <1% | 3,486 | $60K |
| 90651 | <1% | 1,199 | $58K | |
| 90715 | <1% | 2,469 | $56K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,219 | $54K |
| 76801 | <1% | 773 | $54K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 52 | $50K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,007 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,981 | $47K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,879 | $47K |
| 90686 | <1% | 5,032 | $44K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,041 | $39K |
| 99381 | <1% | 478 | $38K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 579 | $38K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 262 | $32K |
| 69210 | <1% | 1,198 | $29K | |
| 99460 | <1% | 517 | $28K | |
| 81025 | <1% | 4,232 | $28K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,364 | $28K |
| 99442 | <1% | 951 | $22K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 490 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,217 | $21K |
| 99205 | Prolong outpt/office vis | <1% | 145 | $18K |
| 90677 | <1% | 826 | $18K | |
| 00840 | <1% | 263 | $18K | |
| 99385 | <1% | 179 | $18K | |
| 73630 | <1% | 1,040 | $16K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 333 | $15K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 297 | $14K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 105 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 390 | $13K |
| 99383 | <1% | 127 | $11K | |
| 94060 | <1% | 636 | $11K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 12 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,073 | $10K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 235 | $10K |
| 93000 | <1% | 1,190 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,702 | $8K |
| 00731 | <1% | 227 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 621 | $8K |
| 81002 | <1% | 3,135 | $8K | |
| 96127 | <1% | 2,630 | $8K | |
| 99496 | <1% | 52 | $8K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 627 | $7K |
| 90670 | <1% | 3,251 | $7K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 170 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 163 | $6K |
| 99441 | <1% | 508 | $6K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 139 | $6K |
| 99382 | <1% | 66 | $6K | |
| 99443 | <1% | 215 | $6K | |
| 00790 | <1% | 70 | $5K | |
| 00811 | <1% | 152 | $5K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 29 | $5K |
| 58300 | <1% | 89 | $5K | |
| 99406 | <1% | 642 | $5K | |
| 54150 | <1% | 69 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 85 | $4K |
| 99499 | <1% | 69 | $4K | |
| 90750 | <1% | 30 | $4K | |
| 99384 | <1% | 38 | $3K | |
| 73610 | <1% | 205 | $3K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 38 | $3K |
| 90656 | <1% | 325 | $3K | |
| 87807 | <1% | 286 | $3K | |
| 81003 | <1% | 1,785 | $3K | |
| 0012A | <1% | 75 | $3K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 41 | $3K |
| 0011A | <1% | 75 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 306 | $2K |
| 73562 | <1% | 114 | $2K | |
| 99188 | <1% | 260 | $2K | |
| 83655 | <1% | 182 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 138 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 187 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $2K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | $2K |
| 0064A | <1% | 41 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 111 | $2K |
| 80061 | Lipid panel | <1% | 137 | $2K |
| 81001 | <1% | 589 | $2K | |
| 00813 | <1% | 33 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,265 | $1K |
| 99177 | <1% | 577 | $1K | |
| 01961 | <1% | 15 | $1K | |
| 00812 | <1% | 43 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 44 | $1K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 21 | $1K |
| 99334 | <1% | 33 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 433 | $1K |
| 73100 | <1% | 63 | $1K | |
| 99386 | <1% | 12 | $979.50 | |
| 73030 | <1% | 60 | $906.00 | |
| 36416 | <1% | 482 | $875.31 | |
| 87210 | <1% | 185 | $824.92 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 443 | $799.55 |
| 90707 | <1% | 821 | $739.25 | |
| 01937 | <1% | 25 | $690.81 | |
| 93016 | <1% | 54 | $646.59 | |
| 90716 | <1% | 816 | $645.41 | |
| 01938 | <1% | 25 | $638.45 | |
| 98928 | <1% | 15 | $624.85 | |
| 11721 | <1% | 29 | $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) | <1% | 620 | $613.74 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 69 | $602.11 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 43 | $545.34 |
| 93018 | <1% | 52 | $421.44 | |
| 90688 | <1% | 23 | $382.71 | |
| 90620 | <1% | 75 | $367.60 | |
| 85018 | <1% | 182 | $363.27 | |
| 96160 | <1% | 546 | $347.77 | |
| 96380 | <1% | 16 | $318.47 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 12 | $296.86 |
| 90734 | <1% | 861 | $257.70 | |
| 73560 | <1% | 17 | $251.54 | |
| 73130 | <1% | 12 | $226.94 | |
| 99051 | <1% | 106 | $167.00 | |
| 90694 | <1% | 54 | $157.82 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 180 | $153.10 |
| 82044 | <1% | 28 | $141.26 | |
| 96161 | <1% | 57 | $102.26 | |
| 84439 | <1% | 13 | $99.60 | |
| 80305 | <1% | 13 | $84.79 | |
| 90685 | <1% | 117 | $65.43 | |
| 82962 | <1% | 12 | $20.45 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 12 | $5.00 |
| 90680 | 0% | 1,800 | $0.00 | |
| 91301 | 0% | 231 | $0.00 | |
| 90696 | 0% | 416 | $0.00 | |
| 90723 | 0% | 2,989 | $0.00 | |
| 90698 | 0% | 28 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 123 | $0.00 |
| 91306 | 0% | 42 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 153 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 44 | $0.00 |
| 91307 | 0% | 22 | $0.00 | |
| 90744 | 0% | 15 | $0.00 | |
| 90700 | 0% | 724 | $0.00 | |
| 90710 | 0% | 441 | $0.00 | |
| 90648 | 0% | 3,446 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 513 | $0.00 |
| 90461 | 0% | 682 | $0.00 | |
| 90633 | 0% | 1,849 | $0.00 | |
| 90380 | 0% | 15 | $0.00 | |
| 90681 | 0% | 223 | $0.00 | |
| 0502F | 0% | 14 | $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 officialWINES, TANYA (DIRECTOR, SYSTEM CREDENTIALING)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.