Physician
Carolina Ear, Nose & Throat-Sinus and Allergy Center PA
Carolina Ear, Nose & Throat-Sinus and Allergy Center PA was paid $9K by Medicaid between Feb 2018 and Jun 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoCAROLINA EAR, NOSE & THROAT-SINUS AND ALLERGY CENTER PA
MORGANTON, NC 28655
MORGANTON, NC 28655
33aNPI1043555899assigned 12/05/2012
33bProvider typeOtolaryngology Physician
28Total paid$9K
24GClaims247
24DCodes billed4
24AFirst – last monthFeb 2018 – Jun 2021
Compared with peers
Next to other Otolaryngology Physician providers in North Carolina
Rank by total paid#34 of 42
Median peer was paid$109K
This provider vs. median0.1×
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 | 98 | $4K | |
| 2019 | 95 | $4K | |
| 2020 | 26 | $469.52 | |
| 2021 | 28 | $1K |
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 | 78% | 153 | 141 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.8% | 13 | 12 | $889.46 |
| 92567 | 8.4% | 69 | 64 | $767.74 | |
| 92557 | 3.7% | 12 | 12 | $340.61 |
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 officialFULMER, BROOK (BUSINESS OFFICE)
| Provider | Location | Paid |
|---|---|---|
| Carolina Ear, Nose & Throat-Sinus and Allergy Center PA | Hickory, NC | $2.38M |
| Carolina Ear, Nose & Throat-Sinus and Allergy Center PA | Lincolnton, NC | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.