Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › TOLEDO › UNIVERSITY OF TOLEDO PHYSICIANS LLC

UNIVERSITY OF TOLEDO PHYSICIANS LLC

NPI: 1942296033 · TOLEDO, OH 43614 · Physical Medicine & Rehabilitation Physician · NPI assigned 09/23/2005

$17.73M
Total Medicaid Paid
794,467
Total Claims
640,296
Beneficiaries
235
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERRY, TRACEY (DIRECTOR, MEDICAL STAFF SERVICES)
Parent OrganizationUNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC
NPI Enumeration Date09/23/2005

Related Entities

Other providers sharing the same authorized official: BERRY, TRACEY

ProviderCityStateTotal Paid
FAMILY 1ST HOME HEALTH CARE LLC SAINT CHARLES MO $2.13M
UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH $231K
UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 136,857 $3.15M
2019 129,915 $3.16M
2020 95,611 $2.56M
2021 110,837 $2.63M
2022 111,364 $2.33M
2023 109,609 $2.21M
2024 100,274 $1.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 95,665 85,928 $3.31M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 122,612 110,864 $2.88M
99232 Subsequent hospital care, per day, moderate complexity 92,104 37,240 $1.76M
99284 Emergency department visit for the evaluation and management, high severity 37,219 35,404 $1.76M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,334 19,178 $1.27M
99233 Prolong inpt eval add15 m 24,654 10,070 $662K
99283 Emergency department visit for the evaluation and management, moderate severity 21,644 20,542 $631K
99309 Subsequent nursing facility care, per day, low to moderate complexity 32,046 23,765 $488K
99222 Initial hospital care, per day, moderate complexity 9,007 8,461 $380K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 8,470 2,973 $378K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,460 7,915 $338K
99239 Hospital discharge day management, more than 30 minutes 8,455 7,913 $279K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 49,642 41,472 $278K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,984 7,417 $271K
99223 Prolong inpt eval add15 m 3,829 3,628 $212K
99308 Subsequent nursing facility care, per day, straightforward 16,819 11,388 $202K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,154 5,760 $180K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,784 2,607 $140K
99215 Prolong outpt/office vis 2,755 2,565 $140K
90460 Immunization administration through 18 years of age via any route, first or only component 8,592 4,289 $109K
90961 1,596 1,495 $88K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,126 1,037 $87K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,987 1,960 $85K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,654 1,531 $84K
70450 Computed tomography, head or brain; without contrast material 3,645 3,361 $80K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,721 1,687 $77K
99254 916 860 $67K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,991 1,903 $63K
99238 Hospital discharge day management, 30 minutes or less 2,112 2,010 $57K
93970 2,358 2,147 $56K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,154 1,133 $52K
90962 1,252 1,192 $43K
90837 Psychotherapy, 53 minutes with patient 1,036 670 $40K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,918 1,623 $40K
20610 1,643 1,345 $39K
99460 552 532 $38K
90935 Hemodialysis procedure with single evaluation by a physician 1,877 987 $37K
93298 2,021 1,895 $36K
71046 Radiologic examination, chest; 2 views 6,069 5,797 $36K
99306 Prolong nursin fac eval 15m 1,221 1,081 $36K
76377 1,963 1,613 $36K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 760 736 $33K
71045 Radiologic examination, chest; single view 8,057 6,103 $32K
71275 Computed tomographic angiography, chest, with contrast material 638 616 $32K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,058 996 $32K
99442 1,475 1,362 $27K
92551 5,930 5,775 $26K
72125 Computed tomography, cervical spine; without contrast material 992 935 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 573 549 $24K
99305 854 788 $24K
77014 978 250 $24K
99443 838 746 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,441 1,358 $20K
93971 1,240 1,160 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 472 462 $19K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 112 99 $17K
99253 344 336 $17K
95886 754 727 $16K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,098 1,030 $14K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 632 552 $13K
96127 5,845 4,847 $13K
73221 326 310 $12K
99252 366 358 $12K
99255 132 130 $12K
77067 Screening mammography, bilateral, including computer-aided detection 714 709 $12K
73562 2,000 1,647 $12K
77427 156 81 $12K
94060 737 673 $10K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 426 414 $10K
88342 519 480 $10K
99292 339 231 $9K
73630 1,545 1,298 $9K
93018 1,016 978 $9K
73610 1,602 1,432 $9K
72100 1,320 1,263 $8K
73130 1,456 1,166 $8K
76830 Ultrasound, transvaginal 365 354 $8K
99173 4,672 4,518 $8K
83036 Hemoglobin; glycosylated (A1C) 1,741 1,562 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 61 57 $7K
94729 1,020 946 $7K
90686 1,097 1,055 $7K
73030 1,234 1,100 $7K
73502 1,197 1,119 $7K
85060 717 656 $6K
94726 901 841 $6K
99307 816 488 $6K
95251 371 302 $6K
88141 283 276 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 153 152 $6K
74022 612 578 $6K
84165 708 655 $6K
00731 126 87 $5K
95951 98 40 $5K
43235 74 66 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 71 67 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 122 119 $5K
73110 830 741 $5K
99205 Prolong outpt/office vis 70 68 $5K
76775 319 296 $5K
99217 168 160 $4K
93294 227 223 $4K
93295 175 155 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 295 286 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 53 51 $4K
36415 Collection of venous blood by venipuncture 1,881 1,782 $4K
95115 506 188 $4K
93880 147 134 $4K
90792 Psychiatric diagnostic evaluation with medical services 58 52 $4K
97803 159 122 $4K
90834 Psychotherapy, 45 minutes with patient 101 69 $3K
71250 183 171 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 208 202 $3K
93308 201 184 $3K
99221 139 119 $3K
73590 602 515 $3K
95908 100 94 $3K
74018 784 707 $3K
90836 91 74 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 76 72 $3K
99462 85 56 $3K
62370 281 252 $3K
90756 137 129 $2K
93000 238 221 $2K
73564 326 259 $2K
73560 499 422 $2K
54150 41 41 $2K
72110 199 193 $2K
93454 29 28 $2K
76770 122 116 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 41 40 $2K
74230 224 198 $2K
99441 145 133 $1K
76642 70 62 $1K
99219 25 24 $1K
72050 129 128 $1K
95811 26 25 $1K
49083 20 12 $1K
78815 Positron emission tomography (PET) for limited area imaging 23 21 $1K
95117 124 75 $1K
57454 12 12 $1K
72170 234 220 $1K
72040 163 153 $1K
77002 67 62 $1K
95910 25 24 $995.94
73552 293 257 $994.92
93923 81 79 $979.95
95816 78 65 $963.45
72141 26 25 $926.64
73080 214 190 $907.17
99282 Emergency department visit for the evaluation and management, low to moderate severity 51 50 $883.96
93272 51 49 $835.96
95004 Percutaneous tests with allergenic extracts, immediate type reaction 13 12 $812.88
70486 28 28 $799.41
00813 15 12 $762.34
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 73 27 $738.38
93975 12 12 $734.08
94010 55 52 $730.39
36416 459 445 $710.64
93307 24 23 $692.00
L0626 Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 14 14 $646.86
73090 109 103 $635.21
74183 12 12 $620.43
99188 34 27 $583.24
99349 45 26 $565.07
77300 14 13 $557.27
77334 14 12 $537.78
95819 32 31 $528.26
76942 43 40 $500.39
99385 12 12 $471.00
59025 Fetal non-stress test 21 16 $460.89
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 12 $458.38
70496 17 16 $457.35
62369 14 12 $409.08
77080 15 15 $397.90
70498 15 14 $377.14
99281 Emergency department visit for the evaluation and management, self-limited or minor 38 38 $376.01
99310 Prolong nursin fac eval 15m 13 12 $356.27
99497 29 29 $313.88
72131 13 13 $294.95
99335 15 13 $292.20
36556 14 12 $277.78
96110 Developmental screening, with scoring and documentation, per standardized instrument 47 38 $271.28
86334 28 26 $271.16
99318 16 16 $257.67
J1040 Injection, methylprednisolone acetate, 80 mg 15 13 $244.64
93922 33 26 $244.11
73060 45 41 $242.55
99152 176 172 $227.84
76981 12 12 $221.34
77066 Tomosynthesis, mammo 15 14 $204.41
99251 12 12 $201.41
93325 102 87 $199.10
88304 29 29 $190.62
93321 38 37 $177.56
76536 13 12 $149.98
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 260 250 $147.95
93296 15 14 $132.27
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 25 $128.16
84166 12 12 $125.13
90832 Psychotherapy, 30 minutes with patient 20 13 $118.97
99316 13 12 $111.96
11100 12 12 $110.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 48 38 $98.80
93926 13 12 $95.88
90656 82 80 $67.25
73600 14 13 $58.18
3044F 61 54 $40.00
93042 13 13 $22.75
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) 99 84 $3.19
1125F 9,468 8,881 $0.11
1160F 10,383 9,633 $0.11
1159F 8,992 8,345 $0.08
3074F 21,614 18,785 $0.04
3078F 20,726 18,067 $0.04
1034F 647 600 $0.00
1170F 554 480 $0.00
1036F 3,409 3,223 $0.00
3008F 10,788 9,510 $0.00
3079F 4,212 3,649 $0.00
99024 352 321 $0.00
3075F 1,352 1,200 $0.00
1126F 590 553 $0.00
3080F 257 213 $0.00
3352F 83 74 $0.00
3351F 20 16 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 20 20 $0.00
0346T 12 12 $0.00
3288F 1,087 1,026 $0.00
3077F 1,441 1,255 $0.00
3725F 1,202 1,128 $0.00
99348 27 27 $0.00
90633 26 24 $0.00
81002 20 13 $0.00
99347 12 12 $0.00