Clinic
Ear, Nose & Throat Associates of New York,p.C.
Ear, Nose & Throat Associates of New York,p.C. was paid $12.76M by Medicaid between Jan 2018 and Jun 2022, across 53 billing codes. Its largest line is 31231, — 25% of everything it billed.
33Billing provider infoEAR, NOSE & THROAT ASSOCIATES OF NEW YORK,P.C.
FRESH MEADOWS, NY 11365
FRESH MEADOWS, NY 11365
33aNPI1124079769assigned 05/16/2006
33bProvider typeHearing and Speech Clinic/Center
28Total paid$12.76M
24GClaims191,142
24DCodes billed53
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Hearing and Speech Clinic/Center providers in New York
Rank by total paid#3 of 12
Median peer was paid$69K
This provider vs. median184×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JONES, TAMMY controls 20+ related entities in our dataset. Read more
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 | 36,775 | $2.25M | |
| 2019 | 41,695 | $2.66M | |
| 2020 | 40,336 | $2.51M | |
| 2021 | 47,707 | $3.46M | |
| 2022 | 24,629 | $1.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 25% | 18,691 | 18,512 | $3.23M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 47,289 | 44,345 | $2.91M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 21,058 | 20,859 | $1.86M |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 4.9% | 1,914 | 1,597 | $623K |
| 31575 | 4.5% | 5,680 | 5,636 | $579K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 3.7% | 2,724 | 2,662 | $469K |
| 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 | 3.1% | 4,065 | 3,887 | $397K |
| 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 | 2.6% | 2,416 | 2,390 | $330K |
| 69210 | 2.6% | 13,913 | 13,746 | $330K | |
| 92557 | 2.5% | 11,202 | 11,159 | $314K | |
| 92511 | 2.2% | 3,044 | 3,018 | $283K | |
| 92550 | 1.8% | 15,798 | 15,327 | $233K |
41 more codes
| 92553 | 1.5% | 6,842 | $188K | |
| 95117 | 1.2% | 14,971 | $148K | |
| 92612 | 1.0% | 1,017 | $129K | |
| 92512 | <1% | 2,662 | $84K | |
| 31579 | <1% | 482 | $78K | |
| 76970 | <1% | 1,393 | $75K | |
| 92610 | <1% | 1,118 | $53K | |
| 86003 | <1% | 740 | $52K | |
| 92653 | <1% | 823 | $48K | |
| 92585 | <1% | 572 | $47K | |
| 92567 | <1% | 3,640 | $46K | |
| 94010 | <1% | 1,516 | $42K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 808 | $36K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,185 | $28K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 1,534 | $25K |
| 31000 | <1% | 153 | $21K | |
| 92520 | <1% | 833 | $16K | |
| 42800 | <1% | 146 | $15K | |
| S9024 | Paranasal sinus ultrasound | <1% | 528 | $13K |
| 99243 | <1% | 185 | $13K | |
| 40808 | <1% | 81 | $8K | |
| 92563 | <1% | 336 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | $4K |
| 31238 | <1% | 12 | $3K | |
| 92524 | <1% | 24 | $2K | |
| 69020 | <1% | 14 | $2K | |
| 30200 | <1% | 43 | $2K | |
| 92616 | <1% | 14 | $2K | |
| 92540 | <1% | 16 | $1K | |
| 95024 | <1% | 14 | $1K | |
| 92504 | <1% | 69 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 113 | $954.53 |
| 95012 | <1% | 36 | $660.29 | |
| 92537 | <1% | 16 | $538.82 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22 | $417.47 |
| 92570 | <1% | 26 | $359.21 | |
| 95115 | <1% | 28 | $266.08 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $244.31 |
| 36415 | Collection of venous blood by venipuncture | <1% | 204 | $179.91 |
| 96160 | <1% | 26 | $50.55 | |
| A4617 | Mouth piece | <1% | 36 | $43.30 |
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 officialJONES, TAMMY (CREDENTIALING SPECIALIST)
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| Cranial Technologies INC | Phoenix, AZ | $5.50M |
| Cranial Technologies INC | Charlotte, NC | $4.99M |
| Cranial Technologies INC | Lombard, IL | $4.96M |
| Cranial Technologies INC | Columbia, MD | $4.89M |
| Cranial Technologies, INC. | Mesa, AZ | $4.33M |
| Cranial Technologies, INC. | Elgin, IL | $4.02M |
| Cranial Technologies INC | Boca Raton, FL | $3.27M |
| Cranial Technologies INC | Chicago, IL | $3.14M |
| Cranial Technologies, INC. | Orland Park, IL | $2.74M |
| Cranial Technologies INC | Orlando, FL | $2.69M |
| Cranial Technologies INC | South Miami, FL | $2.63M |
| Cranial Technologies INC | Cary, NC | $2.52M |
| Cranial Technologies, INC. | Cincinnati, OH | $2.04M |
| Cranial Technologies INC | Orange, CA | $1.99M |
| Cranial Technologies, INC. | Thornton, CO | $1.94M |
| Cranial Technologies INC. | Tampa, FL | $1.71M |
| Cranial Technologies, INC. | Tucson, AZ | $1.59M |
| Cranial Technologies, INC. | Columbus, OH | $1.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.