Physician
Otolaryngology Physicians of Lancaster, LTD.
Otolaryngology Physicians of Lancaster, LTD. was paid $1.46M by Medicaid between Apr 2019 and Apr 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoOTOLARYNGOLOGY PHYSICIANS OF LANCASTER, LTD.
LANCASTER, PA 17601
LANCASTER, PA 17601
33aNPI1134200181assigned 10/18/2006
33bProvider typeOtolaryngology Physician
28Total paid$1.46M
24GClaims15,154
24DCodes billed22
24AFirst – last monthApr 2019 – Apr 2024
Compared with peers
Next to other Otolaryngology Physician providers in Pennsylvania
Rank by total paid#3 of 136
Median peer was paid$13K
This provider vs. median111×
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 | |
|---|---|---|---|
| 2019 | 29 | $151.86 | |
| 2020 | 643 | $50K | |
| 2021 | 3,838 | $315K | |
| 2022 | 4,047 | $436K | |
| 2023 | 5,137 | $512K | |
| 2024incomplete | 1,460 | $151K |
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 | 26% | 2,570 | 2,492 | $381K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 3,365 | 3,269 | $358K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 17% | 1,056 | 1,034 | $248K |
| 99243 | 16% | 1,461 | 1,446 | $230K | |
| 92567 | 5.1% | 3,650 | 3,584 | $75K | |
| 92557 | 2.4% | 738 | 730 | $35K | |
| 92587 | 1.8% | 662 | 646 | $26K | |
| 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 | 1.7% | 136 | 135 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 207 | 204 | $24K |
| 31575 | <1% | 81 | 78 | $13K | |
| 31231 | <1% | 49 | 49 | $12K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 39 | 39 | $12K |
10 more codes
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 42 | $11K |
| 69210 | <1% | 117 | $6K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 14 | $5K |
| V5264 | Ear mold/insert, not disposable, any type | <1% | 12 | $888.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | $510.16 |
| 92552 | <1% | 12 | $410.16 | |
| 92579 | <1% | 13 | $381.34 | |
| 92593 | <1% | 29 | $313.60 | |
| 92555 | <1% | 28 | $312.57 | |
| 99072 | 0% | 849 | $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 officialANDERSON, MARIE (PRACTICE MANAGER)