Physician
Michigan Ear Nose and Throat Associates PC
Michigan Ear Nose and Throat Associates PC was paid $218K by Medicaid between Jan 2018 and May 2024, across 12 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 39% of everything it billed.
33Billing provider infoMICHIGAN EAR NOSE AND THROAT ASSOCIATES PC
PONTIAC, MI 48341
PONTIAC, MI 48341
33aNPI1073560355assigned 05/30/2006
33bProvider typeOtolaryngology Physician
28Total paid$218K
24GClaims5,972
24DCodes billed12
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Otolaryngology Physician providers in Michigan
Rank by total paid#17 of 31
Median peer was paid$294K
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 | |
|---|---|---|---|
| 2018 | 1,909 | $49K | |
| 2019 | 998 | $31K | |
| 2020 | 706 | $24K | |
| 2021 | 456 | $18K | |
| 2022 | 805 | $41K | |
| 2023 | 1,009 | $50K | |
| 2024incomplete | 89 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 39% | 1,459 | 1,441 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,638 | 1,526 | $65K |
| 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 | 10% | 247 | 246 | $22K |
| 31575 | 5.9% | 252 | 232 | $13K | |
| 31231 | 5.4% | 116 | 116 | $12K | |
| 92557 | 5.1% | 562 | 552 | $11K | |
| 92567 | 3.2% | 824 | 797 | $7K | |
| 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 | 1.4% | 47 | 46 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 19 | 17 | $1K |
| 3288F | 0% | 122 | 119 | $0.00 | |
| 1220F | 0% | 589 | 573 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 97 | 94 | $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 officialBAHU, SAM (OWNER)