Ear Nose and Throat and Facial Plastic Surgery Center of Frederick

Ear Nose and Throat and Facial Plastic Surgery Center of Frederick was paid $12K by Medicaid between Mar 2023 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoEAR NOSE AND THROAT AND FACIAL PLASTIC SURGERY CENTER OF FREDERICK
FREDERICKSBURG, VA 22401

33aNPI1164517314assigned 10/04/2006

33bProvider typeOtolaryngology Physician

28Total paid$12K

24GClaims223

24DCodes billed4

24AFirst – last monthMar 2023 – Sep 2024

Compared with peers

Next to other Otolaryngology Physician providers in Virginia

Rank by total paid#23 of 67

Median peer was paid$5K

This provider vs. median2.3×

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	87	$4K
2024incomplete	136	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	76%	173	165	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	21	16	$1K
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	11%	16	13	$1K
92567		1.5%	13	13	$181.66

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 officialMASSEY, CALEB (MANAGING PHYSICIAN)