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

Laurinburg Ent Clinic PA

Laurinburg Ent Clinic PA was paid $62K by Medicaid between Jan 2018 and Sep 2018, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoLAURINBURG ENT CLINIC PA
LAURINBURG, NC 28352
33aNPI1164554606assigned 03/11/2007
33bProvider typeOtolaryngology Physician
28Total paid$62K
24GClaims1,277
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers

Next to other Otolaryngology Physician providers in North Carolina

Rank by total paid#26 of 42
Median peer was paid$109K
This provider vs. median0.6×

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
20181,277$62K
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 32% 551 513 $20K
99243 18% 118 115 $11K
99242 16% 144 142 $10K
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 15% 156 145 $9K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 7.0% 29 29 $4K
92557 3.1% 69 66 $2K
31575 2.6% 46 43 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 48 48 $1K
92567 1.1% 56 56 $701.94
92579 <1% 14 14 $488.74
69210 <1% 31 31 $475.15
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% 15 13 $370.24

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 officialLAVIGNE, MARK (OWNER)