Physician
Toledo Clinic Incorporated
Toledo Clinic Incorporated was paid $585K by Medicaid between Jan 2018 and Mar 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoTOLEDO CLINIC INCORPORATED
MONROE, MI 48162
MONROE, MI 48162
33aNPI1669423455assigned 05/15/2006
33bProvider typeHematology & Oncology Physician
28Total paid$585K
24GClaims16,131
24DCodes billed25
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Michigan
Rank by total paid#5 of 36
Median peer was paid$63K
This provider vs. median9.2×
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 | 5,599 | $188K | |
| 2019 | 4,436 | $140K | |
| 2020 | 2,882 | $97K | |
| 2021 | 2,118 | $103K | |
| 2022 | 744 | $38K | |
| 2023 | 252 | $13K | |
| 2024incomplete | 100 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 4,561 | 3,996 | $255K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 3,652 | 980 | $113K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,349 | 2,289 | $83K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 7.6% | 824 | 461 | $45K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.6% | 376 | 342 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 430 | 129 | $19K |
| 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 | 3.1% | 230 | 228 | $18K |
| 99223 | Prolong inpt eval add15 m | 2.2% | 157 | 144 | $13K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 65 | 65 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 828 | 558 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 29 | 29 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 576 | 539 | $2K |
13 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 333 | $2K |
| 94729 | <1% | 245 | $1K | |
| 99443 | <1% | 14 | $666.96 | |
| 94726 | <1% | 84 | $522.75 | |
| 96367 | <1% | 32 | $471.41 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 20 | $252.50 |
| 94060 | <1% | 40 | $201.87 | |
| 90674 | <1% | 14 | $196.91 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,110 | $169.88 |
| 99442 | <1% | 12 | $154.50 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 117 | $135.71 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $77.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 21 | $25.20 |
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 officialSYLAK, TOM (CHIEF OPERATING OFFICER)
Parent organizationTOLEDO CLINIC INC
| Provider | Location | Paid |
|---|---|---|
| Toledo Clinic Incorporated | Toledo, OH | $15.83M |
| Toledo Clinic Incorporated | Toledo, OH | $1.98M |
| Toledo Clinic Incorporated | Toledo, OH | $813K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.