NP / PA
Ent Care Centers PLLC
Ent Care Centers PLLC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoENT CARE CENTERS PLLC
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
33aNPI1093381485assigned 05/27/2021
33bProvider typePhysician Assistant
28Total paid$1.22M
24GClaims30,890
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#44 of 214
Median peer was paid$134K
This provider vs. median9.0×
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 | 3,557 | $164K | |
| 2019 | 1,580 | $78K | |
| 2022 | 6,196 | $217K | |
| 2023 | 11,094 | $422K | |
| 2024incomplete | 8,463 | $334K |
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 | 20% | 6,985 | 6,007 | $242K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 15% | 1,729 | 1,616 | $187K |
| 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% | 2,252 | 1,975 | $142K |
| 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 | 11% | 2,651 | 2,300 | $138K |
| 31231 | 8.1% | 1,463 | 1,214 | $99K | |
| 92557 | 6.0% | 2,781 | 2,494 | $73K | |
| 99243 | 5.4% | 821 | 785 | $66K | |
| 92567 | 5.0% | 5,204 | 4,719 | $61K | |
| 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 | 4.0% | 622 | 522 | $48K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.4% | 261 | 188 | $30K |
| 95117 | 2.4% | 2,749 | 946 | $30K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.7% | 128 | 120 | $21K |
11 more codes
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.7% | 255 | $21K |
| 92504 | 1.5% | 1,489 | $18K | |
| 92579 | 1.0% | 703 | $12K | |
| 69990 | <1% | 52 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 265 | $6K |
| 31579 | <1% | 56 | $6K | |
| 31575 | <1% | 142 | $5K | |
| 69210 | <1% | 174 | $3K | |
| 92552 | <1% | 83 | $769.90 | |
| 69222 | <1% | 12 | $521.99 | |
| 92553 | <1% | 13 | $223.20 |
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 officialHIGGINS, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| City of Bangor | Bangor, ME | $5.31M |
| Providence Place Assisted Living, INC. | High Point, NC | $2.66M |
| Central Hearing Centers, INC. | Glendale, CA | $169K |
| Blake Higgins DDS PLLC | Edwards, CO | $141K |
| Westchester Pathology Associates | Mount Kisco, NY | $945.13 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.