Orange County Ear, Nose & Throat
Orange County Ear, Nose & Throat was paid $1.93M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoORANGE COUNTY EAR, NOSE & THROAT
IRVINE, CA 92618
IRVINE, CA 92618
33aNPI1205924511assigned 10/11/2006
33bProvider typeSpecialist
28Total paid$1.93M
24GClaims34,066
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#118 of 1,230
Median peer was paid$51K
This provider vs. median38×
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 | 2,906 | $116K | |
| 2019 | 1,832 | $82K | |
| 2020 | 1,764 | $64K | |
| 2021 | 2,143 | $80K | |
| 2022 | 2,169 | $80K | |
| 2023 | 11,396 | $669K | |
| 2024incomplete | 11,856 | $843K |
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 | 28% | 10,743 | 8,358 | $538K |
| 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 | 25% | 5,327 | 4,350 | $478K |
| 31575 | 20% | 4,438 | 4,240 | $388K | |
| 31231 | 14% | 5,224 | 4,992 | $274K | |
| 69210 | 7.4% | 6,199 | 5,778 | $144K | |
| 99205 | Prolong outpt/office vis | 2.2% | 422 | 381 | $42K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 419 | 419 | $14K |
| 99245 | <1% | 83 | 83 | $11K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 96 | 96 | $10K |
| 92557 | <1% | 181 | 179 | $10K | |
| 69222 | <1% | 65 | 52 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 655 | 628 | $8K |
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 officialDENA, MICHELLE (OFFICE MANAGER)