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The Toledo Hospital

Pediatrics·Toledo, OH·NPI: 1407854771Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $151.2M is at the 50th percentile among 14 Pediatrics providers.

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

Total Paid

$151.2M

$151,223,641

Total Claims

3.4M

Beneficiaries

2.7M

1.2 claims/patient

Avg Cost/Claim

$44

#710 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

The Toledo Hospital is a Pediatrics provider based in Toledo, OH. From the 2018–2024 period, this provider received $151.2M in Medicaid payments across 3.4M claims.

Why This Matters

This provider received $151.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,902 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 243% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$10.0M
+14%
2019
$11.4M
+16%
2020
$13.3M
+33%
2021
$17.6M
-1%
2022
$17.5M
+169%
2023
$47.0M
-27%
2024
$34.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 10% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$15.0M

133K claims · 9.9%

Your Cost: $112.17/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$12.6M

94K claims · 8.3%

Your Cost: $134.53/claim|Median: $69.51
1.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$9.0M

34K claims · 6.0%

Your Cost: $267.97/claim|Median: $38.92
6.9× median
99213Top 10%

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

$8.5M

120K claims · 5.7%

Your Cost: $71.51/claim|Median: $37.81
1.9× median
U0003Top 5%

Infectious disease detection (COVID-19)

$5.1M

31K claims · 3.4%

Your Cost: $165.60/claim|Median: $63.08
2.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.8M

29K claims · 3.2%

Your Cost: $165.97/claim|Median: $85.65
1.9× median
99214Top 25%

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

$3.6M

47K claims · 2.4%

Your Cost: $77.28/claim|Median: $53.41
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.9M

42K claims · 1.9%

Your Cost: $69.54/claim|Median: $75.18
0.9× median
81514Normal range

$2.7M

18K claims · 1.8%

Your Cost: $151.90/claim|Median: $143.67
1.1× median
70450Top 10%

CT head/brain without contrast

$2.5M

11K claims · 1.7%

Your Cost: $236.84/claim|Median: $45.53
5.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.5M

37K claims · 1.6%

Your Cost: $67.32/claim|Median: $69.35
1.0× median
G0378Normal range

Hospital observation service, per hour

$2.5M

21K claims · 1.6%

Your Cost: $117.75/claim|Median: $99.39
1.2× median
99282Top 25%

Emergency dept visit, low complexity

$2.3M

24K claims · 1.5%

Your Cost: $95.75/claim|Median: $37.72
2.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.1M

10K claims · 1.4%

Your Cost: $222.35/claim|Median: $65.76
3.4× median
97110Top 10%

Therapeutic exercises, each 15 min

$2.1M

30K claims · 1.4%

Your Cost: $70.57/claim|Median: $24.49
2.9× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1.9M

14K claims · 1.3%

Your Cost: $141.30/claim|Median: $54.77
2.6× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$1.9M

27K claims · 1.3%

Your Cost: $70.94/claim|Median: $3.67
19.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.9M

27K claims · 1.3%

Your Cost: $69.31/claim|Median: $74.82
0.9× median
92507Top 25%

Speech/hearing/language treatment

$1.8M

26K claims · 1.2%

Your Cost: $71.69/claim|Median: $49.45
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.8M

29K claims · 1.2%

Your Cost: $60.41/claim|Median: $58.55
1.0× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$1.7M

6K claims · 1.1%

Your Cost: $260.59/claim|Median: $54.68
4.8× median
G0463Top 25%

Hospital outpatient clinic visit

$1.6M

19K claims · 1.1%

Your Cost: $83.13/claim|Median: $26.41
3.1× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$1.5M

9K claims · 1.0%

Your Cost: $171.05/claim|Median: $40.12
4.3× median
59025Top 25%

Fetal non-stress test

$1.5M

17K claims · 1.0%

Your Cost: $87.43/claim|Median: $26.45
3.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.3M

44K claims · 0.9%

Your Cost: $30.25/claim|Median: $24.95
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.2M

16K claims · 0.8%

Your Cost: $71.31/claim|Median: $80.15
0.9× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$1.1M

7K claims · 0.8%

Your Cost: $159.14/claim|Median: $144.30
1.1× median
93303Top 25%

Echocardiography, transthoracic, limited

$1.1M

4K claims · 0.8%

Your Cost: $295.12/claim|Median: $112.83
2.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.1M

10K claims · 0.7%

Your Cost: $113.80/claim|Median: $91.47
1.2× median
97530Top 25%

Therapeutic activities, each 15 min

$1.1M

16K claims · 0.7%

Your Cost: $69.34/claim|Median: $33.11
2.1× median

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