Midwest Ear Nose & Throat Specialists PC

Midwest Ear Nose & Throat Specialists PC was paid $380K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoMIDWEST EAR NOSE & THROAT SPECIALISTS PC
HASTINGS, NE 68901

33aNPI1215038625assigned 09/26/2006

33bProvider typeOtolaryngology Physician

28Total paid$380K

24GClaims4,475

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Nebraska

Rank by total paid#3 of 14

Median peer was paid$28K

This provider vs. median13×

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	753	$75K
2019	765	$77K
2020	536	$37K
2021	559	$40K
2022	701	$66K
2023	524	$37K
2024incomplete	637	$48K

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	35%	2,173	2,071	$131K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	26%	314	306	$99K
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	22%	948	932	$84K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	15%	849	841	$56K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	128	122	$5K
42820	Tonsillectomy and adenoidectomy; younger than age 12	1.1%	12	12	$4K
99024		0%	51	50	$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 officialBOWEN, VAUGHAN (PRESIDENT OWNER)