Ear Nose and Throat Specialists of Northwestern Pennsylvania

Ear Nose and Throat Specialists of Northwestern Pennsylvania was paid $100K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoEAR NOSE AND THROAT SPECIALISTS OF NORTHWESTERN PENNSYLVANIA
ERIE, PA 16505

33aNPI1194754846assigned 07/02/2006

33bProvider typeOtolaryngology Physician

28Total paid$100K

24GClaims6,005

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#31 of 136

Median peer was paid$13K

This provider vs. median7.6×

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

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	183	$1K
2019	38	$278.26
2020	61	$760.27
2021	1,762	$37K
2022	1,479	$23K
2023	1,321	$21K
2024incomplete	1,161	$17K

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	39%	1,723	1,644	$39K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	30%	690	678	$30K
95117		15%	2,690	2,044	$15K
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	7.6%	122	119	$8K
92567		6.0%	617	606	$6K
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	<1%	61	61	$829.51
92552		<1%	43	39	$368.20
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	28	$319.81
92557		<1%	14	14	$279.56
92556		<1%	16	12	$277.25

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 officialBUDACKI, ROBERT (PRACTICE ADMINISTRATOR)