Otolaryngology Head and Neck Surgery Associates
Otolaryngology Head and Neck Surgery Associates was paid $2.33M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoOTOLARYNGOLOGY HEAD AND NECK SURGERY ASSOCIATES
KNOXVILLE, TN 37934
KNOXVILLE, TN 37934
33aNPI1184704207assigned 10/16/2006
33bProvider typeSpecialist
28Total paid$2.33M
24GClaims59,457
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#12 of 252
Median peer was paid$57K
This provider vs. median41×
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 | 3,106 | $116K | |
| 2019 | 3,840 | $170K | |
| 2020 | 5,990 | $201K | |
| 2021 | 15,158 | $455K | |
| 2022 | 14,199 | $559K | |
| 2023 | 10,631 | $474K | |
| 2024incomplete | 6,533 | $354K |
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 | 27% | 11,897 | 9,995 | $623K |
| 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 | 21% | 4,735 | 3,840 | $479K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 12,825 | 10,930 | $435K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 7.4% | 832 | 775 | $173K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 1,576 | 1,394 | $95K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.9% | 512 | 462 | $90K |
| 95115 | 2.9% | 7,274 | 2,780 | $67K | |
| 31575 | 2.3% | 1,133 | 776 | $54K | |
| 92557 | 2.2% | 2,640 | 2,235 | $52K | |
| 92567 | 1.6% | 3,923 | 3,409 | $37K | |
| 99243 | 1.5% | 392 | 378 | $35K | |
| 31231 | 1.5% | 376 | 277 | $34K |
23 more codes
| 95117 | 1.3% | 2,589 | $31K | |
| 92540 | <1% | 404 | $22K | |
| 69210 | <1% | 847 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 729 | $16K |
| 92546 | <1% | 344 | $15K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 44 | $10K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 39 | $7K |
| 70486 | <1% | 52 | $6K | |
| 92548 | <1% | 76 | $5K | |
| 30140 | <1% | 16 | $5K | |
| 92653 | <1% | 121 | $5K | |
| 92584 | <1% | 120 | $4K | |
| 99242 | <1% | 49 | $3K | |
| 99406 | <1% | 483 | $3K | |
| 92547 | <1% | 467 | $2K | |
| 92517 | <1% | 35 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $1K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 36 | $820.51 |
| 92588 | <1% | 28 | $711.79 | |
| 92585 | <1% | 19 | $191.42 | |
| 95024 | <1% | 13 | $93.03 | |
| 99024 | 0% | 99 | $0.00 | |
| 99072 | 0% | 4,719 | $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 officialHOLCOMB, KRYSTAL (PRACTICE MANAGER)