Ear Nose and Throat Consultants PC
Ear Nose and Throat Consultants PC was paid $3.77M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 26% of everything it billed.
33Billing provider infoEAR NOSE AND THROAT CONSULTANTS PC
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
33aNPI1053484048assigned 11/16/2006
33bProvider typeSpecialist
28Total paid$3.77M
24GClaims68,961
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#10 of 181
Median peer was paid$94K
This provider vs. median40×
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 | 5,110 | $241K | |
| 2019 | 5,624 | $250K | |
| 2020 | 5,665 | $265K | |
| 2021 | 8,771 | $442K | |
| 2022 | 10,218 | $541K | |
| 2023 | 18,046 | $1.05M | |
| 2024incomplete | 15,527 | $985K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 10,503 | 10,492 | $988K |
| 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 | 17% | 9,104 | 8,787 | $641K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 7,285 | 7,272 | $438K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 9,714 | 9,160 | $437K |
| 31231 | 9.1% | 3,194 | 3,154 | $343K | |
| 31575 | 6.0% | 3,308 | 3,246 | $227K | |
| 92557 | 4.5% | 8,252 | 8,098 | $170K | |
| 95024 | 2.3% | 1,035 | 938 | $88K | |
| 30140 | 1.7% | 523 | 523 | $65K | |
| 69210 | 1.6% | 2,608 | 2,527 | $62K | |
| 30520 | 1.4% | 158 | 157 | $53K | |
| 92567 | <1% | 4,162 | 4,100 | $38K |
28 more codes
| 95800 | <1% | 329 | $29K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 323 | $28K |
| 99205 | Prolong outpt/office vis | <1% | 234 | $27K |
| 95117 | <1% | 3,498 | $25K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 152 | $19K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 168 | $17K |
| 31237 | <1% | 82 | $16K | |
| 69433 | Temp tube delivery, unil | <1% | 92 | $12K |
| 99441 | <1% | 420 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 459 | $11K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 26 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 54 | $4K |
| 99442 | <1% | 100 | $4K | |
| 92540 | <1% | 64 | $4K | |
| 94010 | <1% | 189 | $4K | |
| 92553 | <1% | 104 | $2K | |
| 42821 | <1% | 12 | $2K | |
| 30903 | <1% | 13 | $2K | |
| 92587 | <1% | 112 | $1K | |
| 92537 | <1% | 51 | $1K | |
| 30901 | <1% | 12 | $1K | |
| 92555 | <1% | 12 | $162.85 | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 471 | $55.58 |
| 99072 | <1% | 625 | $29.75 | |
| 1111F | 0% | 1,411 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 35 | $0.00 |
| 4040F | 0% | 30 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 37 | $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 officialWEINGARTEN, JEFFREY (PRESIDENT)