Virgin Islands Ear Nose and Throat PC

Virgin Islands Ear Nose and Throat PC was paid $1.09M by Medicaid between Jan 2018 and Oct 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

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	675	$43K
2019	1,634	$136K
2020	2,442	$153K
2021	3,463	$203K
2022	5,305	$274K
2023	4,193	$206K
2024incomplete	1,257	$78K

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	32%	5,435	5,035	$347K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16%	1,995	1,927	$177K
86003		10%	925	900	$114K
31575		9.4%	1,087	1,034	$102K
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	5.9%	431	418	$65K
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	5.8%	596	570	$64K
92512		4.6%	988	962	$50K
83013		4.1%	905	879	$44K
95810	Polysomnography; sleep staging with 4 or more additional parameters	3.7%	82	78	$40K
94010		1.6%	768	747	$17K
82785		1.1%	919	898	$12K
92567		<1%	662	648	$9K

16 more codes

E0601	Continuous positive airway pressure (cpap) device	<1%	1,126	$8K
95811		<1%	14	$8K
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	247	$8K
A7035	Headgear used with positive airway pressure device	<1%	306	$6K
83014		<1%	909	$5K
69210		<1%	114	$4K
A7030	Full face mask used with positive airway pressure device, each	<1%	25	$3K
36415	Collection of venous blood by venipuncture	<1%	995	$2K
31231		<1%	12	$2K
92557		<1%	39	$1K
92587		<1%	43	$819.86
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	27	$607.75
A7038	Filter, disposable, used with positive airway pressure device	<1%	281	$458.63
92552		<1%	12	$398.44
94660		<1%	14	$365.78
A7031	Face mask interface, replacement for full face mask, each	<1%	12	$311.68

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 officialSMOLARZ, JOSEPH (PROPRIETOR)