Physician
Prime Ent Sinus Sleep & Allergy INC
Prime Ent Sinus Sleep & Allergy INC was paid $123K by Medicaid between May 2023 and Oct 2024, across 11 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 43% of everything it billed.
33Billing provider infoPRIME ENT SINUS SLEEP & ALLERGY INC
STOCKTON, CA 95210
STOCKTON, CA 95210
33aNPI1154048395assigned 10/27/2022
33bProvider typeOtolaryngology Physician
28Total paid$123K
24GClaims2,281
24DCodes billed11
24AFirst – last monthMay 2023 – Oct 2024
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#70 of 168
Median peer was paid$67K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2023 | 209 | $11K | |
| 2024incomplete | 2,072 | $112K |
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 | 43% | 619 | 619 | $53K |
| 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 | 18% | 562 | 552 | $22K |
| 99243 | 9.5% | 186 | 185 | $12K | |
| 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 | 7.7% | 189 | 189 | $9K |
| 31231 | 6.1% | 172 | 166 | $8K | |
| 31575 | 4.5% | 89 | 88 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 212 | 200 | $5K |
| 69210 | 3.1% | 165 | 162 | $4K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.8% | 35 | 35 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 38 | 38 | $2K |
| 92504 | <1% | 14 | 14 | $229.43 |
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, SHILPA (OWNER)