Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ear Nose & Throat & Plastic Surg INC

Ear Nose & Throat & Plastic Surg INC was paid $283K by Medicaid between May 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoEAR NOSE & THROAT & PLASTIC SURG INC
SAINT LOUIS, MO 63122
33aNPI1104911288assigned 10/04/2006
28Total paid$283K
24GClaims4,945
24DCodes billed9
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Facial Plastic Surgery Physician providers in Missouri

Rank by total paid#1 of 5
Median peer was paid$92K
This provider vs. median3.1×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201887$2K
201916$266.55
2020182$7K
2021584$17K
20221,595$86K
20231,853$122K
2024incomplete628$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 2,031 1,920 $99K
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 26% 887 850 $74K
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 26% 637 614 $72K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.7% 382 358 $27K
92567 1.7% 519 490 $5K
95115 1.2% 446 194 $3K
31231 <1% 14 12 $1K
31575 <1% 16 16 $925.19
92557 <1% 13 12 $400.50

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 officialBARNES, RICHARD (PRESIDENT)
Same official

Other billing entities under BARNES, RICHARD

Full network →
ProviderLocationPaid
Richard W. Barnes D.D.S., INC.Visalia, CA$3.04M
Barnes Dental Corporation INCVisalia, CA$2.18M
Fremont County Pediatric ClinicLander, WY$636K
Richard L. Barnes, O.D., P.A.Conway, AR$336K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.