Physician
Southern Indiana Ent, LLC
Southern Indiana Ent, LLC was paid $2.35M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoSOUTHERN INDIANA ENT, LLC
COLUMBUS, IN 47201
COLUMBUS, IN 47201
33aNPI1013030618assigned 04/09/2007
33bProvider typeOtolaryngology Physician
28Total paid$2.35M
24GClaims31,266
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Indiana
Rank by total paid#3 of 20
Median peer was paid$176K
This provider vs. median13×
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 | 3,522 | $128K | |
| 2019 | 2,984 | $315K | |
| 2020 | 3,371 | $227K | |
| 2021 | 4,612 | $242K | |
| 2022 | 4,909 | $251K | |
| 2023 | 6,829 | $765K | |
| 2024incomplete | 5,039 | $418K |
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 | 31% | 16,214 | 14,510 | $732K |
| 31298 | 26% | 209 | 163 | $608K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 7,457 | 6,823 | $459K |
| 31295 | 9.2% | 262 | 207 | $216K | |
| 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 | 2.7% | 1,070 | 926 | $63K |
| 70486 | 2.6% | 765 | 694 | $61K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.1% | 361 | 328 | $48K |
| 30140 | 1.6% | 296 | 250 | $39K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.0% | 112 | 110 | $24K |
| 61782 | <1% | 243 | 195 | $23K | |
| 76376 | <1% | 794 | 704 | $10K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 72 | 71 | $9K |
11 more codes
| 31231 | <1% | 86 | $9K | |
| 92567 | <1% | 1,383 | $8K | |
| 95117 | <1% | 919 | $7K | |
| 31575 | <1% | 98 | $7K | |
| 30520 | <1% | 30 | $7K | |
| 30930 | <1% | 341 | $6K | |
| 92557 | <1% | 342 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 147 | $3K |
| 31237 | <1% | 34 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $752.57 |
| 92587 | <1% | 13 | $157.60 |
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 officialSANDERS, ANTHONY (CO-OWNER-PARTNER)