EAR NOSE AND THROAT ASSOCIATES PLLC
NPI: 1023767274
· OLYMPIA, WA 98506
· Otolaryngology Physician
· NPI assigned 03/23/2022
$187K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, SUNG-WON (MANAGING PARTNER) |
| NPI Enumeration Date | 03/23/2022 |
Related Entities
Other providers sharing the same authorized official: KIM, SUNG-WON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
4,691 |
$151K |
| 2024 |
1,137 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
558 |
542 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
709 |
658 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
356 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
253 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
193 |
$12K |
| 95117 |
|
1,287 |
417 |
$7K |
| 95115 |
|
1,489 |
454 |
$7K |
| 92567 |
|
569 |
557 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
109 |
$4K |
| 92557 |
|
136 |
134 |
$3K |
| 92552 |
|
108 |
105 |
$2K |
| 92556 |
|
26 |
26 |
$601.64 |