Physician
Ear, Nose, Throat, Sinus
Ear, Nose, Throat, Sinus was paid $64K by Medicaid between Jan 2018 and Nov 2019, across 11 billing codes. Its largest line is 31231, — 76% of everything it billed.
33Billing provider infoEAR, NOSE, THROAT, SINUS
MUNSTER, IN 46321
MUNSTER, IN 46321
33aNPI1073990867assigned 04/30/2015
33bProvider typeOtolaryngology/Facial Plastic Surgery Physician
28Total paid$64K
24GClaims851
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Otolaryngology/Facial Plastic Surgery Physician providers in Indiana
Rank by total paid#4 of 6
Median peer was paid$64K
This provider vs. median1.0×
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 | 458 | $20K | |
| 2019 | 393 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 76% | 527 | 479 | $49K | |
| 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 | 16% | 127 | 113 | $10K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 4.1% | 45 | 29 | $3K |
| 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 | 1.8% | 16 | 16 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 12 | 12 | $844.29 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $482.13 |
| 31237 | 0% | 30 | 25 | $0.00 | |
| 30140 | 0% | 28 | 25 | $0.00 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 0% | 28 | 26 | $0.00 |
| 31000 | 0% | 13 | 12 | $0.00 | |
| 31296 | 0% | 13 | 12 | $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 officialPATEL, JATIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Alamo Childrens Heart Center, PA | Live Oak, TX | $294K |
| Union Avenue Healthcare INC | Bound Brook, NJ | $309.65 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.