The Toledo Hospital
The Toledo Hospital was paid $1.10M by Medicaid between Jan 2018 and Dec 2022, across 15 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 43% of everything it billed.
33Billing provider infoTHE TOLEDO HOSPITAL
TOLEDO, OH 43606
TOLEDO, OH 43606
33aNPI1952570178assigned 02/21/2008
33bProvider typeMidwife
28Total paid$1.10M
24GClaims16,365
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2022
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 | 3,960 | $268K | |
| 2019 | 3,832 | $265K | |
| 2020 | 2,891 | $215K | |
| 2021 | 2,902 | $184K | |
| 2022 | 2,780 | $166K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 43% | 766 | 757 | $473K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 9,057 | 6,271 | $397K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.3% | 2,119 | 1,814 | $69K |
| 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 | 4.7% | 1,317 | 1,291 | $52K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.2% | 695 | 682 | $36K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 496 | 489 | $15K |
| 59430 | 1.1% | 241 | 234 | $12K | |
| 99221 | 1.0% | 320 | 318 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 224 | 218 | $8K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 468 | 428 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 266 | 258 | $6K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 213 | 186 | $4K |
3 more codes
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 officialMCCUNE, LORI (CREDENTIALING COORDINATOR)
Parent organizationTHE TOLEDO HOSPITAL