Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

University Of Toledo Physicians LLC (NPI 1942296033)

University Of Toledo Physicians LLC is a internal medicine physician provider located in Toledo, Ohio. This profile covers 0 Medicare and 235 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	University Of Toledo Physicians LLC
Address	3000 Arlington Ave
City	Toledo
State	OH
ZIP	43614
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 23, 2005

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

235 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	95,670	$40	$3.3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	122,610	$20	$2.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	92,100	$20	$1.7M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	37,220	$50	$1.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20,330	$60	$1.3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	24,650	$30	$665.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	21,640	$30	$627.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	32,050	$20	$480.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8,470	$50	$381.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	9,010	$40	$378.3K

Showing 1–10 of 235

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

Claims Volume vs. Ohio Distribution

University Of Toledo Physicians LLC — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

235 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	133	480	4,510	$90	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	88	660	460	$90	$1.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	94	580	510	$100	$1.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	91	290	1,380	$90	$635.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	113	280	1,110	$110	$605.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	200	230	2,200	$100	$530.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,080	2,640	620	$90	$408.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	46	4,510	500	$60	$377.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	45	5,080	560	$40	$323.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	108	230	980	$110	$319.6K

Showing 1–10 of 235

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Kasunic	OH	Hematology & Oncology Physician	$2M	$0
Shaili Desai	OH	Hematology & Oncology Physician	$1.2M	$0
Richard Phinney	OH	Medical Oncology Physician	$1.2M	$0
Mohammad Rashid	OH	Hematology & Oncology Physician	$565.7K	$0
Antwan Atia	OH	Gastroenterology Physician	$174.4K	$105.6K
Hassan Semaan	OH	Diagnostic Radiology Physician	$232.7K	$0
Rex Mowat	OH	Hematology & Oncology Physician	$230.1K	$0
Saudia Mushkbar	OH	Family Medicine Physician	$227.7K	$0
Felix Boucher	OH	Diagnostic Radiology Physician	$218.4K	$0
Charu Trivedi	OH	Hematology & Oncology Physician	$218.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical University Of Ohio At Toledo	OH	General Acute Care Hospital	$0	$50.7M
Satheesh Ramineni	OH	Adult Reconstructive Orthopaedic Surgery Physician	$314.9K	$0
Ellis Sampram	OH	General Practice Physician	$269.9K	$0
Raja Hanif	OH	Family Medicine Physician	$220.6K	$0
Mohammad Abdulrasool	OH	Family Medicine Physician	$179.7K	$0
Kunal Yadav	OH	Transplant Surgery Physician	$172.2K	$0
Daniel Gehling	OH	Adult Reconstructive Orthopaedic Surgery Physician	$166.5K	$0
Mark Buehler	OH	Diagnostic Radiology Physician	$164.7K	$0
Walid Mahmoud	OH	Emergency Medicine Physician	$131.2K	$2.6K
Deepak Malhotra	OH	Nephrology Physician	$112.6K	$0

University Of Toledo Physicians LLC — Billing Profile & Reimbursement Data

Sign up for University Of Toledo Physicians LLC — Billing Profile & Reimbursement Data policy alerts

University Of Toledo Physicians LLC — Billing Profile & Reimbursement Data

Sign up for University Of Toledo Physicians LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References