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PROMEDICA CENTRAL PHYSICIANS

Family Medicine·TOLEDO, OH·NPI: 1043270150Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.7M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$40.7M

$40,734,362

Total Claims

1.1M

Beneficiaries

985K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+7%
2019
$4.7M
-14%
2020
$4.0M
+56%
2021
$6.3M
+22%
2022
$7.7M
-2%
2023
$7.5M
-17%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 32% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$13.1M

340K claims · 32.1%

Your Cost: $38.50/claim|Median: $37.81
1.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$10.5M

200K claims · 25.7%

Your Cost: $52.45/claim|Median: $53.41
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.9M

65K claims · 4.6%

Your Cost: $28.57/claim|Median: $17.85
1.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.4M

64K claims · 3.4%

Your Cost: $21.96/claim|Median: $23.99
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

22K claims · 2.7%

Your Cost: $50.42/claim|Median: $69.35
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

19K claims · 2.7%

Your Cost: $56.67/claim|Median: $75.18
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$841K

11K claims · 2.1%

Your Cost: $76.67/claim|Median: $84.03
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$646K

19K claims · 1.6%

Your Cost: $34.35/claim|Median: $35.30
1.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$624K

13K claims · 1.5%

Your Cost: $49.77/claim|Median: $57.85
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$591K

8,926 claims · 1.5%

Your Cost: $66.25/claim|Median: $74.09
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$590K

13K claims · 1.4%

Your Cost: $44.00/claim|Median: $47.08
0.9× median
J0178Normal range

Injection, aflibercept, 1 mg

$512K

495 claims · 1.3%

Your Cost: $1,034.79/claim|Median: $730.09
1.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$421K

9,246 claims · 1.0%

Your Cost: $45.52/claim|Median: $59.72
0.8× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$356K

1,332 claims · 0.9%

Your Cost: $267.07/claim|Median: $283.78
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$299K

5,368 claims · 0.7%

Your Cost: $55.63/claim|Median: $74.82
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$297K

5,955 claims · 0.7%

Your Cost: $49.95/claim|Median: $51.25
1.0× median
92015Normal range

Determination of refractive state

$292K

25K claims · 0.7%

Your Cost: $11.67/claim|Median: $10.36
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$285K

26K claims · 0.7%

Your Cost: $10.94/claim|Median: $11.48
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$253K

3,923 claims · 0.6%

Your Cost: $64.60/claim|Median: $67.32
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$244K

3,009 claims · 0.6%

Your Cost: $81.06/claim|Median: $101.24
0.8× median
95004Normal range

Percutaneous allergy skin tests, each

$225K

2,432 claims · 0.6%

Your Cost: $92.39/claim|Median: $134.97
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$215K

9,978 claims · 0.5%

Your Cost: $21.59/claim|Median: $25.06
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$215K

3,380 claims · 0.5%

Your Cost: $63.57/claim|Median: $58.55
1.1× median
V2020Normal range

Frames, purchases

$200K

12K claims · 0.5%

Your Cost: $16.43/claim|Median: $19.33
0.8× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$198K

7,266 claims · 0.5%

Your Cost: $27.23/claim|Median: $39.63
0.7× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$190K

8,511 claims · 0.5%

Your Cost: $22.32/claim|Median: $43.07
0.5× median
95720Normal range

$155K

1,189 claims · 0.4%

Your Cost: $130.11/claim|Median: $120.95
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$141K

1,423 claims · 0.3%

Your Cost: $98.88/claim|Median: $111.09
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$140K

4,305 claims · 0.3%

Your Cost: $32.61/claim|Median: $37.22
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$140K

1,933 claims · 0.3%

Your Cost: $72.39/claim|Median: $62.48
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$125K

3,865 claims · 0.3%

Your Cost: $32.35/claim|Median: $43.85
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$116K

7,447 claims · 0.3%

Your Cost: $15.61/claim|Median: $14.00
1.1× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$115K

5,357 claims · 0.3%

Your Cost: $21.41/claim|Median: $20.68
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$115K

7,266 claims · 0.3%

Your Cost: $15.76/claim|Median: $16.77
0.9× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$109K

4,079 claims · 0.3%

Your Cost: $26.75/claim|Median: $27.28
1.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$104K

2,152 claims · 0.3%

Your Cost: $48.31/claim|Median: $58.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$101K

1,632 claims · 0.2%

Your Cost: $62.16/claim|Median: $80.15
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$99K

1,283 claims · 0.2%

Your Cost: $76.96/claim|Median: $121.58
0.6× median
92340Normal range

Fitting of spectacles, except for aphakia

$96K

5,475 claims · 0.2%

Your Cost: $17.53/claim|Median: $19.46
0.9× median
92134Normal range

$87K

8,533 claims · 0.2%

Your Cost: $10.17/claim|Median: $15.46
0.7× median
95816Normal range

$86K

2,147 claims · 0.2%

Your Cost: $39.99/claim|Median: $56.87
0.7× median
99177Top 25%

$82K

8,767 claims · 0.2%

Your Cost: $9.38/claim|Median: $3.74
2.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$78K

15K claims · 0.2%

Your Cost: $5.25/claim|Median: $7.18
0.7× median
99254Normal range

$77K

1,053 claims · 0.2%

Your Cost: $72.87/claim|Median: $81.43
0.9× median
92567Normal range

$74K

6,661 claims · 0.2%

Your Cost: $11.04/claim|Median: $11.50
1.0× median
11721Top 25%

$67K

4,523 claims · 0.2%

Your Cost: $14.72/claim|Median: $8.56
1.7× median
V2784Normal range

Lens, polycarbonate or equal

$64K

13K claims · 0.2%

Your Cost: $5.08/claim|Median: $9.50
0.5× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$64K

3,221 claims · 0.2%

Your Cost: $19.95/claim|Median: $36.13
0.6× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$64K

4,174 claims · 0.2%

Your Cost: $15.25/claim|Median: $9.80
1.6× median
00170Normal range

Anesthesia for intraoral procedures

$62K

738 claims · 0.2%

Your Cost: $83.72/claim|Median: $132.89
0.6× median

Other Top Providers in Ohio

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The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

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$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

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