Physician
Louisiana Ear, Nose, Throat & Sinus, LLC
Louisiana Ear, Nose, Throat & Sinus, LLC was paid $2.18M by Medicaid between May 2020 and Sep 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoLOUISIANA EAR, NOSE, THROAT & SINUS, LLC
BATON ROUGE, LA 70810
BATON ROUGE, LA 70810
33aNPI1114483872assigned 02/18/2019
33bProvider typeOtolaryngology Physician
28Total paid$2.18M
24GClaims39,656
24DCodes billed20
24AFirst – last monthMay 2020 – Sep 2024
Compared with peers
Next to other Otolaryngology Physician providers in Louisiana
Rank by total paid#4 of 56
Median peer was paid$82K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2020 | 3,872 | $221K | |
| 2021 | 7,974 | $450K | |
| 2022 | 11,574 | $625K | |
| 2023 | 12,141 | $669K | |
| 2024incomplete | 4,095 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 16,262 | 13,652 | $824K |
| 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 | 28% | 7,015 | 6,251 | $611K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 13% | 2,125 | 1,889 | $274K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 3,213 | 2,851 | $122K |
| 69210 | 3.5% | 3,565 | 2,942 | $76K | |
| 42830 | 3.4% | 879 | 788 | $75K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.3% | 394 | 353 | $73K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 1,078 | 1,009 | $59K |
| 92567 | 1.5% | 3,633 | 3,023 | $33K | |
| 92557 | <1% | 522 | 465 | $14K | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 276 | 238 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 192 | 63 | $3K |
8 more codes
| 41115 | <1% | 14 | $2K | |
| 92558 | <1% | 313 | $2K | |
| 92588 | <1% | 51 | $2K | |
| 30901 | <1% | 14 | $1K | |
| 95117 | <1% | 65 | $580.48 | |
| 92587 | <1% | 15 | $386.23 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $196.95 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $168.00 |
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 officialSCULLY-TUCKER, EDIE (DIRECTOR OF OPERATIONS)