Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Central Mo Ear, Nose, Throat, & Sinus, P.C.

Central Mo Ear, Nose, Throat, & Sinus, P.C. was paid $290K by Medicaid between Feb 2019 and Dec 2024, across 5 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 62% of everything it billed.

33Billing provider infoCENTRAL MO EAR, NOSE, THROAT, & SINUS, P.C.
JEFFERSON CITY, MO 65109
33aNPI1013050970assigned 02/14/2007
33bProvider typeSpecialist
28Total paid$290K
24GClaims7,252
24DCodes billed5
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers

Next to other Specialist providers in Missouri

Rank by total paid#18 of 86
Median peer was paid$24K
This provider vs. median12×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2019237$3K
202090$3K
20211,258$38K
20221,476$57K
20232,049$95K
2024incomplete2,142$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 62% 1,304 1,153 $180K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 883 810 $45K
95117 11% 4,764 1,581 $32K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 6.6% 132 129 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.5% 169 162 $13K

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 officialMCDONALD, ROBERT (OWNER)
Same official

Other billing entities under MCDONALD, ROBERT

Full network →
ProviderLocationPaid
Robert L Mcdonald MD & Guy T Foster MD LTDCarson City, NV$461K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.