Physician
Shoals Ear Nose & Throat Group PC
Shoals Ear Nose & Throat Group PC was paid $52K by Medicaid between Jan 2018 and Nov 2019, across 6 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 55% of everything it billed.
33Billing provider infoSHOALS EAR NOSE & THROAT GROUP PC
SHEFFIELD, AL 35660
SHEFFIELD, AL 35660
33aNPI1124105671assigned 11/01/2006
33bProvider typeOtolaryngology Physician
28Total paid$52K
24GClaims861
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Otolaryngology Physician providers in Alabama
Rank by total paid#16 of 29
Median peer was paid$56K
This provider vs. median0.9×
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 | 254 | $12K | |
| 2019 | 607 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 55% | 250 | 240 | $28K |
| 92587 | 25% | 364 | 311 | $13K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 7.4% | 53 | 24 | $4K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 5.7% | 18 | 16 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 81 | 65 | $3K |
| 92550 | 2.3% | 95 | 87 | $1K |
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 officialLONG, PATRICIA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Beringer Drug Store, INC. | Warsaw, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.