Physician
Ear Nose and Throat Consultants and Hearing Services PLC
Ear Nose and Throat Consultants and Hearing Services PLC was paid $2.16M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 26% of everything it billed.
33Billing provider infoEAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC
DAKOTA DUNES, SD 57049
DAKOTA DUNES, SD 57049
33aNPI1114141546assigned 04/13/2007
33bProvider typeOtolaryngology Physician
28Total paid$2.16M
24GClaims52,377
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in South Dakota
Rank by total paid#1 of 8
Median peer was paid$29K
This provider vs. median75×
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 | 4,435 | $207K | |
| 2019 | 7,560 | $318K | |
| 2020 | 6,479 | $261K | |
| 2021 | 8,498 | $328K | |
| 2022 | 8,826 | $347K | |
| 2023 | 9,307 | $393K | |
| 2024incomplete | 7,272 | $311K |
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 | 26% | 8,951 | 8,462 | $553K |
| 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% | 12,943 | 11,960 | $432K |
| 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 | 19% | 8,030 | 7,268 | $405K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 12% | 1,285 | 1,222 | $250K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 5.3% | 2,319 | 813 | $115K |
| 95117 | 4.1% | 5,870 | 3,484 | $89K | |
| 92567 | 3.6% | 5,503 | 5,211 | $77K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.1% | 3,843 | 1,692 | $68K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.3% | 197 | 191 | $49K |
| 92557 | 1.5% | 962 | 915 | $33K | |
| 31231 | 1.2% | 405 | 385 | $26K | |
| 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 | 1.2% | 291 | 274 | $26K |
12 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 409 | $13K |
| 69210 | <1% | 427 | $12K | |
| 92504 | <1% | 427 | $7K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 312 | $4K |
| 92526 | <1% | 41 | $2K | |
| V5266 | Battery for use in hearing device | <1% | 54 | $1K |
| 92587 | <1% | 26 | $729.79 | |
| 97162 | <1% | 13 | $594.46 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $376.32 |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 14 | $365.29 |
| 92553 | <1% | 15 | $311.64 | |
| 92555 | <1% | 27 | $298.67 |
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 officialKENNY, THOMAS (PRESIDENT)