Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ear, Nose, Throat & Allergy Consultants, PC

Ear, Nose, Throat & Allergy Consultants, PC was paid $410K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoEAR, NOSE, THROAT & ALLERGY CONSULTANTS, PC
ABINGDON, VA 24211
33aNPI1134564073assigned 05/06/2013
33bProvider typeOtolaryngology Physician
28Total paid$410K
24GClaims8,683
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in Virginia

Rank by total paid#8 of 67
Median peer was paid$5K
This provider vs. median76×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018368$7K
20191,316$41K
2020841$32K
20211,106$42K
20221,590$86K
20231,710$110K
2024incomplete1,752$93K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 3,052 2,790 $158K
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% 897 839 $62K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 14% 356 330 $59K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9.8% 1,432 1,277 $40K
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 7.9% 416 396 $32K
69210 3.7% 526 468 $15K
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 3.2% 121 118 $13K
92586 2.3% 269 240 $10K
92567 2.1% 710 659 $8K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 15 14 $3K
95115 <1% 353 126 $3K
92587 <1% 250 229 $2K
4 more codes
95117 <1% 219 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 38 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 14 $575.50
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 15 $346.64

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 officialPELTZER, LETICIA (OWNER/PROVIDER)