Physician
Pocono Ear Nose Throat & Facial Plastic Surgery, Associates
Pocono Ear Nose Throat & Facial Plastic Surgery, Associates was paid $165K by Medicaid between Oct 2020 and Jul 2023, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 31% of everything it billed.
33Billing provider infoPOCONO EAR NOSE THROAT & FACIAL PLASTIC SURGERY, ASSOCIATES
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1134292105assigned 11/16/2006
33bProvider typePlastic Surgery Physician
28Total paid$165K
24GClaims5,414
24DCodes billed7
24AFirst – last monthOct 2020 – Jul 2023
Compared with peers
Next to other Plastic Surgery Physician providers in Pennsylvania
Rank by total paid#3 of 19
Median peer was paid$8K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2020 | 199 | $5K | |
| 2021 | 1,929 | $55K | |
| 2022 | 2,009 | $64K | |
| 2023 | 1,277 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 31% | 1,089 | 1,075 | $51K |
| 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% | 1,787 | 1,745 | $46K |
| 31575 | 17% | 462 | 461 | $29K | |
| 69210 | 9.9% | 1,041 | 1,020 | $16K | |
| 92557 | 7.2% | 435 | 426 | $12K | |
| 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 | 3.6% | 156 | 154 | $6K |
| 92567 | 3.0% | 444 | 436 | $5K |
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 officialMALIK, HUSSAIN (OWNER)