Medicaid Provider Spending

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

OHIO LIVING PALLIATIVE CARE GREATER TOLEDO LLC

NPI: 1861981656 · TOLEDO, OH 43614 · Family Medicine Physician · NPI assigned 05/07/2018

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

Authorized official GUMINA, LAURENCE controls 11+ related entities in our dataset. Read more

$139K
Total Medicaid Paid
10,802
Total Claims
8,105
Beneficiaries
11
Codes Billed
2020-03
First Month
2022-11
Last Month

Provider Details

Authorized OfficialGUMINA, LAURENCE (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/07/2018

Related Entities

Other providers sharing the same authorized official: GUMINA, LAURENCE

ProviderCityStateTotal Paid
OHIO LIVING HOLDINGS WESTERVILLE OH $3.81M
OHIO LIVING HOLDINGS CINCINNATI OH $2.25M
OHIO LIVING HOLDINGS FAIRLAWN OH $1.03M
OHIO LIVING HOLDINGS TOLEDO OH $900K
OHIO LIVING COMMUNITIES AKRON OH $687K
OHIO LIVING HOLDINGS CANFIELD OH $271K
OHIO LIVING COMMUNITIES YOUNGSTOWN OH $55K
OHIO LIVING HOLDINGS CINCINNATI OH $48K
OHIO LIVING HOLDINGS FAIRLAWN OH $8K
OHIO LIVING HOLDINGS WESTERVILLE OH $8K
OHIO LIVING HOLDINGS WILLOUGHBY OH $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,388 $35K
2021 4,204 $58K
2022 3,210 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 6,839 5,133 $70K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,207 2,313 $57K
99306 Prolong nursin fac eval 15m 175 166 $6K
99305 77 69 $2K
99349 28 24 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25 25 $995.41
99307 295 236 $959.22
99350 Prolong home eval add 15m 27 26 $689.24
90792 Psychiatric diagnostic evaluation with medical services 25 20 $673.45
99335 88 81 $264.56
99348 16 12 $204.56