NP / PA
National Sinus Institute PLLC
National Sinus Institute PLLC was paid $6.13M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 30% of everything it billed.
33Billing provider infoNATIONAL SINUS INSTITUTE PLLC
LOS ALAMOS, NM 87544
LOS ALAMOS, NM 87544
33aNPI1194968081assigned 04/08/2009
33bProvider typePhysician Assistant
28Total paid$6.13M
24GClaims73,203
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in New Mexico
Rank by total paid#4 of 12
Median peer was paid$691K
This provider vs. median8.9×
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 | 4,894 | $316K | |
| 2019 | 6,626 | $427K | |
| 2020 | 7,638 | $567K | |
| 2021 | 13,052 | $1.06M | |
| 2022 | 12,718 | $977K | |
| 2023 | 15,867 | $1.42M | |
| 2024incomplete | 12,408 | $1.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 15,525 | 14,848 | $1.85M |
| 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% | 19,907 | 18,193 | $1.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 11,816 | 11,010 | $697K |
| 31231 | 8.6% | 3,757 | 3,491 | $528K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 6.8% | 970 | 910 | $414K |
| 31295 | 3.8% | 132 | 127 | $232K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 2,112 | 2,056 | $182K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.7% | 674 | 557 | $107K |
| 70486 | 1.4% | 840 | 795 | $88K | |
| 95117 | 1.2% | 8,824 | 3,152 | $74K | |
| 31298 | 1.1% | 16 | 15 | $67K | |
| 69210 | <1% | 1,792 | 1,518 | $54K |
17 more codes
| 30802 | <1% | 290 | $36K | |
| 95115 | <1% | 4,630 | $36K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 137 | $31K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 206 | $30K |
| 92557 | <1% | 397 | $12K | |
| 92588 | <1% | 429 | $11K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 52 | $10K |
| 30520 | <1% | 15 | $8K | |
| 92567 | <1% | 444 | $5K | |
| 31575 | <1% | 58 | $4K | |
| 30140 | <1% | 12 | $3K | |
| 30930 | <1% | 47 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $800.01 |
| 92584 | <1% | 12 | $634.13 | |
| 95024 | <1% | 55 | $290.91 | |
| 92547 | <1% | 12 | $43.97 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 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 officialSUMMERS, ADRIENNE (CREDENTIALING MANAGER)