Physician
Ear,nose,& Throat of Northwest Georgia
Ear,nose,& Throat of Northwest Georgia was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoEAR,NOSE,& THROAT OF NORTHWEST GEORGIA
ROME, GA 30165
ROME, GA 30165
33aNPI1114986163assigned 03/20/2006
33bProvider typeOtolaryngology Physician
28Total paid$1.96M
24GClaims38,051
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Georgia
Rank by total paid#3 of 17
Median peer was paid$15K
This provider vs. median135×
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 | 5,111 | $260K | |
| 2019 | 6,192 | $263K | |
| 2020 | 4,582 | $218K | |
| 2021 | 5,933 | $263K | |
| 2022 | 6,312 | $331K | |
| 2023 | 6,427 | $386K | |
| 2024incomplete | 3,494 | $241K |
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 | 28% | 11,710 | 10,916 | $544K |
| 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 | 21% | 7,007 | 6,376 | $416K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 18% | 2,046 | 2,015 | $362K |
| 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 | 8.3% | 1,527 | 1,452 | $162K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.0% | 1,684 | 1,587 | $119K |
| 92567 | 2.9% | 3,409 | 3,264 | $57K | |
| 92511 | 2.6% | 955 | 905 | $50K | |
| 92587 | 2.0% | 807 | 781 | $40K | |
| 69210 | 1.7% | 1,158 | 1,116 | $33K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.4% | 116 | 110 | $27K |
| 99205 | Prolong outpt/office vis | 1.2% | 209 | 201 | $23K |
| 92552 | 1.1% | 1,431 | 1,403 | $21K |
19 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.0% | 262 | $20K |
| 92555 | 1.0% | 1,593 | $20K | |
| 92550 | <1% | 1,670 | $19K | |
| 92504 | <1% | 708 | $13K | |
| 92557 | <1% | 397 | $12K | |
| 31579 | <1% | 101 | $9K | |
| 31231 | <1% | 94 | $7K | |
| 42830 | <1% | 41 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 70 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 134 | $979.22 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 50 | $401.07 |
| 1036F | 0% | 73 | $0.00 | |
| 1101F | 0% | 126 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 185 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 198 | $0.00 |
| 4040F | 0% | 201 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 61 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 14 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $0.00 |
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 officialHOWARD, RAYMOND (PRESIDENT)