CHMC Otolaryngologic Foundation, INC
CHMC Otolaryngologic Foundation, INC was paid $1.89M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoCHMC OTOLARYNGOLOGIC FOUNDATION, INC
BOSTON, MA 02115
BOSTON, MA 02115
33aNPI1124118229assigned 10/13/2006
33bProvider typeSpeech-Language Pathologist
28Total paid$1.89M
24GClaims29,607
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Speech-Language Pathologist providers in Massachusetts
Rank by total paid#3 of 38
Median peer was paid$50K
This provider vs. median38×
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 | 3,570 | $191K | |
| 2019 | 3,037 | $143K | |
| 2020 | 1,734 | $90K | |
| 2021 | 2,681 | $132K | |
| 2022 | 3,652 | $204K | |
| 2023 | 7,724 | $544K | |
| 2024incomplete | 7,209 | $591K |
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 | 37% | 14,666 | 14,511 | $703K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 5,151 | 5,131 | $412K |
| 99243 | 11% | 2,238 | 2,237 | $211K | |
| 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 | 8.1% | 2,184 | 2,152 | $153K |
| 31575 | 8.0% | 1,706 | 1,675 | $152K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 5.3% | 436 | 436 | $101K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.8% | 324 | 316 | $53K |
| 92567 | 1.5% | 1,697 | 1,691 | $28K | |
| 92610 | 1.2% | 393 | 382 | $23K | |
| 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% | 74 | 74 | $10K |
| 31525 | <1% | 75 | 74 | $9K | |
| 92526 | <1% | 230 | 128 | $8K |
13 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 64 | $8K |
| 31622 | <1% | 117 | $8K | |
| 31615 | <1% | 55 | $7K | |
| 92511 | <1% | 32 | $3K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 21 | $2K |
| 69210 | <1% | 40 | $1K | |
| 92579 | <1% | 25 | $901.81 | |
| 99221 | <1% | 12 | $891.36 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 17 | $675.08 |
| 92582 | <1% | 13 | $661.06 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $587.10 |
| 92504 | <1% | 13 | $193.64 | |
| 92555 | <1% | 12 | $158.90 |
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 officialHICKEY, KATHLEEN (PROVIDER ENROLLMENT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Children's Urological Foundation | Boston, MA | $611K |
| Boston Pediatric Neurosurgical Foundation, INC. | Boston, MA | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.