Trivalley Ear Nose Throat

Trivalley Ear Nose Throat was paid $47K by Medicaid between Jan 2019 and Mar 2023, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 88% of everything it billed.

33Billing provider infoTRIVALLEY EAR NOSE THROAT
MURRIETA, CA 92562

33aNPI1063881605assigned 09/24/2015

33bProvider typeOtolaryngology/Facial Plastic Surgery Physician

28Total paid$47K

24GClaims346

24DCodes billed2

24AFirst – last monthJan 2019 – Mar 2023

Compared with peers

Next to other Otolaryngology/Facial Plastic Surgery Physician providers in California

Rank by total paid#14 of 25

Median peer was paid$65K

This provider vs. median0.7×

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
2019	146	$17K
2020	74	$10K
2021	65	$10K
2022	32	$5K
2023	29	$4K

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	88%	262	262	$41K
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%	84	77	$5K

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 officialLEHMAN, PAMELA (CREDENTIALING)