Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ENT CARE CENTERS PLLC

NPI: 1093381485 · LOUISVILLE, KY 40205 · Physician Assistant · NPI assigned 05/27/2021

$1.22M
Total Medicaid Paid
30,890
Total Claims
25,852
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGGINS, THOMAS (PRESIDENT)
NPI Enumeration Date05/27/2021

Related Entities

Other providers sharing the same authorized official: HIGGINS, THOMAS

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,557 $164K
2019 1,580 $78K
2022 6,196 $217K
2023 11,094 $422K
2024 8,463 $334K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,985 6,007 $242K
99244 Office or other outpatient consultation, moderate to high complexity 1,729 1,616 $187K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,252 1,975 $142K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,651 2,300 $138K
31231 1,463 1,214 $99K
92557 2,781 2,494 $73K
99243 821 785 $66K
92567 5,204 4,719 $61K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 622 522 $48K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 261 188 $30K
95117 2,749 946 $30K
42820 Tonsillectomy and adenoidectomy; younger than age 12 128 120 $21K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 255 250 $21K
92504 1,489 1,345 $18K
92579 703 656 $12K
69990 52 52 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 265 248 $6K
31579 56 51 $6K
31575 142 119 $5K
69210 174 145 $3K
92552 83 75 $769.90
69222 12 12 $521.99
92553 13 13 $223.20