Monroe Ear, Nose and Throat Associates, P.C.
Monroe Ear, Nose and Throat Associates, P.C. was paid $78K by Medicaid between Jan 2018 and Jun 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoMONROE EAR, NOSE AND THROAT ASSOCIATES, P.C.
MONROE, MI 48162
MONROE, MI 48162
33aNPI1003091141assigned 01/08/2008
33bProvider typeAudiologist
28Total paid$78K
24GClaims5,238
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Audiologist providers in Michigan
Rank by total paid#5 of 23
Median peer was paid$18K
This provider vs. median4.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 1,612 | $27K | |
| 2019 | 1,694 | $15K | |
| 2020 | 871 | $10K | |
| 2021 | 424 | $5K | |
| 2022 | 371 | $6K | |
| 2023 | 110 | $5K | |
| 2024incomplete | 156 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 71% | 1,351 | 1,272 | $56K |
| 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 | 15% | 188 | 175 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 125 | 123 | $7K |
| 92567 | 1.9% | 174 | 174 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 15 | 15 | $1K |
| 92553 | <1% | 16 | 16 | $320.85 | |
| 92555 | <1% | 16 | 16 | $202.05 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,955 | 1,796 | $0.00 |
| 4040F | 0% | 277 | 259 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 878 | 806 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 175 | 160 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 50 | 49 | $0.00 |
1 more codes
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 18 | $0.00 |
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 officialKARPENKO, AMDREW (PRESIDENT)