NP / PA
Ear Nose and Throat Specialists PLLC
Ear Nose and Throat Specialists PLLC was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoEAR NOSE AND THROAT SPECIALISTS PLLC
GEORGETOWN, KY 40324
GEORGETOWN, KY 40324
33aNPI1154331387assigned 08/09/2006
33bProvider typePhysician Assistant
28Total paid$1.51M
24GClaims32,828
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#39 of 214
Median peer was paid$134K
This provider vs. median11×
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 | 2,372 | $114K | |
| 2019 | 4,278 | $203K | |
| 2020 | 4,366 | $213K | |
| 2021 | 5,488 | $228K | |
| 2022 | 4,561 | $218K | |
| 2023 | 5,190 | $245K | |
| 2024incomplete | 6,573 | $293K |
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 | 37% | 11,360 | 9,696 | $556K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 22% | 3,183 | 2,793 | $339K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 3,842 | 3,427 | $130K |
| 99243 | 6.1% | 1,131 | 1,075 | $93K | |
| 31575 | 4.6% | 1,732 | 1,458 | $70K | |
| 92567 | 4.4% | 5,577 | 5,013 | $67K | |
| 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 | 4.1% | 859 | 720 | $62K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 805 | 735 | $48K |
| 92557 | 2.6% | 1,633 | 1,401 | $39K | |
| 95806 | 1.3% | 238 | 204 | $19K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 137 | 115 | $19K |
| 31231 | 1.2% | 327 | 262 | $18K |
11 more codes
| 92511 | 1.2% | 503 | $17K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 133 | $13K |
| 92579 | <1% | 409 | $7K | |
| 99490 | Ccm add 20min | <1% | 229 | $6K |
| 92552 | <1% | 373 | $4K | |
| 99454 | <1% | 100 | $3K | |
| 99457 | <1% | 64 | $2K | |
| 69210 | <1% | 65 | $664.57 | |
| 92555 | <1% | 43 | $389.88 | |
| 92556 | <1% | 13 | $160.68 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 72 | $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 officialSHASHY, RONALD (OWNER)