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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Toledo Clinic Incorporated
๐Ÿ”ช
Organization

Toledo Clinic Incorporated

NPI: 1386796332
Toledo, OH
10 years of data
Ambulatory Surgical Center
$18.2M
Total Payments
31.3K
Beneficiaries
35.9K
Services
4.25x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$18.2M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $18.2M over 10 years
24.25x markup ratio (above median)
398th percentile in Ambulatory Surgical Center by payments
4Payments surged 64% in 2018
520 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $18.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 110% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 64% in 2018

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.1K$316.093.62x$829.40$1.0M3.3K3.0K
2015$1.6K$421.753.72x$1.1K$1.2M3.2K2.9K
2016$1.9K$465.014.15x$1.5K$1.5M3.7K3.4K
2017$2.0K$421.404.77x$1.6K$1.4M3.5K3.1K
2018$4.4K$991.394.39x$3.4K$2.3M4.1K3.4K
2019$4.3K$953.414.50x$3.3K$2.4M4.3K3.5K
2020$3.9K$930.324.17x$3.0K$2.1M3.7K3.0K
2021$3.9K$948.154.08x$2.9K$2.2M3.6K3.1K
2022$4.3K$986.484.33x$3.3K$1.8M3.2K2.9K
2023$4.7K$1.1K4.24x$3.6K$2.2M3.3K3.0K

Top Procedures (20)

66984Removal of cataract with insertion of lensโš  4.0x markup
$3.5M
4.8K services$731.19/svc4.00x markup
63685Insertion of spinal neurostimulator pulse generator or receiverโš  4.0x markup
$2.2M
125 services$17.6K/svc4.00x markup
45385Removal of polyps or growths of large bowel using an endoscopeโš  3.5x markup
$1.3M
3.6K services$350.44/svc3.53x markup
43239Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscopeโš  6.6x markup
$880.7K
3.7K services$235.86/svc6.62x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidanceโš  4.1x markup
$834.4K
1.4K services$584.31/svc4.07x markup
63650Implantation of spinal neurostimulator electrodes, accessed through the skinโš  4.2x markup
$773.9K
229 services$3.4K/svc4.19x markup
45380Biopsy of large bowel using an endoscopeโš  4.2x markup
$618.1K
2.1K services$296.74/svc4.23x markup
52000Diagnostic examination of the bladder and bladder canal (urethra) using an endoscopeโš  4.0x markup
$440.0K
2.1K services$210.33/svc4.04x markup
52281Dilation of bladder canal (urethra) using an endoscopeโš  4.1x markup
$438.2K
770 services$569.07/svc4.13x markup
36561Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or olderโš  3.8x markup
$400.3K
411 services$973.91/svc3.79x markup
45378Diagnostic examination of large bowel using an endoscopeโš  4.6x markup
$393.4K
1.5K services$268.38/svc4.59x markup
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologistโš  4.0x markup
$378.9K
231 services$1.6K/svc4.03x markup
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high riskโš  3.5x markup
$374.3K
1.1K services$342.73/svc3.49x markup
G0105Colorectal cancer screening; colonoscopy on individual at high riskโš  3.8x markup
$313.5K
894 services$350.64/svc3.77x markup
55700Biopsy of prostate glandโš  3.6x markup
$291.9K
513 services$568.98/svc3.64x markup
22869Insertion of stabilizing or separating device into lower spine at single levelโš  4.2x markup
$231.8K
25 services$9.3K/svc4.15x markup
64721Release and/or relocation of median nerve of handโš  4.3x markup
$216.7K
378 services$573.23/svc4.35x markup
43249Balloon dilation of esophagus using an endoscopeโš  3.8x markup
$209.4K
443 services$472.72/svc3.78x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidanceโš  4.2x markup
$208.3K
850 services$245.06/svc4.17x markup
26055Incision of tendon coveringโš  4.8x markup
$197.1K
409 services$481.94/svc4.81x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
66984Removal of cataract with insertion of lens4.8K$3.5M$731.194.00x
63685Insertion of spinal neurostimulator pulse generator or receiver125$2.2M$17.6K4.00x
45385Removal of polyps or growths of large bowel using an endoscope3.6K$1.3M$350.443.53x
43239Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope3.7K$880.7K$235.866.62x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance1.4K$834.4K$584.314.07x
63650Implantation of spinal neurostimulator electrodes, accessed through the skin229$773.9K$3.4K4.19x
45380Biopsy of large bowel using an endoscope2.1K$618.1K$296.744.23x
52000Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope2.1K$440.0K$210.334.04x
52281Dilation of bladder canal (urethra) using an endoscope770$438.2K$569.074.13x
36561Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older411$400.3K$973.913.79x
45378Diagnostic examination of large bowel using an endoscope1.5K$393.4K$268.384.59x
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist231$378.9K$1.6K4.03x
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1.1K$374.3K$342.733.49x
G0105Colorectal cancer screening; colonoscopy on individual at high risk894$313.5K$350.643.77x
55700Biopsy of prostate gland513$291.9K$568.983.64x
22869Insertion of stabilizing or separating device into lower spine at single level25$231.8K$9.3K4.15x
64721Release and/or relocation of median nerve of hand378$216.7K$573.234.35x
43249Balloon dilation of esophagus using an endoscope443$209.4K$472.723.78x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance850$208.3K$245.064.17x
26055Incision of tendon covering409$197.1K$481.944.81x

Markup Analysis

Charge-to-Payment Ratio

4.25x

This provider submits charges 4.25 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.25x means for every $100 Medicare pays, this provider initially charges $425. This is higher than the national average.

Location

Toledo, OH

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in OH for peer comparison.

Toledo Clinic Incorporated (you)
$18.2M
Cei Physicians Psc Llc
$43.6M
The Urology Center Llc
$37.6M
Eye Center Of Columbus, Llc
$35.0M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Cei Physicians Psc LlcBlue Ash, OH$43.6Mโœ“ Clear
The Urology Center LlcCincinnati, OH$37.6Mโœ“ Clear
Eye Center Of Columbus, LlcColumbus, OH$35.0Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data