Physician
Wake Ear Nose and Throat Specialists PLLC
Wake Ear Nose and Throat Specialists PLLC was paid $16K by Medicaid between Jan 2018 and Jul 2022, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoWAKE EAR NOSE AND THROAT SPECIALISTS PLLC
CARY, NC 27518
CARY, NC 27518
33aNPI1194047340assigned 02/15/2010
33bProvider typeOtolaryngology Physician
28Total paid$16K
24GClaims1,094
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Otolaryngology Physician providers in North Carolina
Rank by total paid#32 of 42
Median peer was paid$109K
This provider vs. median0.1×
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 | 90 | $1K | |
| 2019 | 213 | $1K | |
| 2020 | 548 | $7K | |
| 2021 | 182 | $5K | |
| 2022 | 61 | $1K |
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 | 32% | 127 | 94 | $5K |
| 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 | 27% | 79 | 58 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 89 | 75 | $4K |
| 92567 | 11% | 280 | 201 | $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 | 4.9% | 16 | 12 | $762.66 |
| 92557 | 1.9% | 19 | 13 | $297.92 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 219 | 152 | $0.00 |
| 1036F | 0% | 249 | 189 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 16 | 15 | $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 officialGUPTA, PANKAJ (OWNER/CEO)