Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou
Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoSOUTHERN NEW ENGLAND EAR, NOSE, THROAT AND FACIAL PLASTIC SURGERY GROU
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
33aNPI1215164058assigned 06/19/2009
33bProvider typeSpecialist
28Total paid$118K
24GClaims11,641
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Connecticut
Rank by total paid#21 of 55
Median peer was paid$59K
This provider vs. median2.0×
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 | 833 | $9K | |
| 2019 | 1,474 | $28K | |
| 2020 | 841 | $22K | |
| 2021 | 2,512 | $11K | |
| 2022 | 3,217 | $20K | |
| 2023 | 1,830 | $17K | |
| 2024incomplete | 934 | $10K |
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 | 51% | 4,422 | 3,909 | $59K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 33% | 1,118 | 1,022 | $39K |
| 69210 | 3.1% | 539 | 503 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 445 | 407 | $4K |
| 92557 | 2.7% | 246 | 209 | $3K | |
| 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 | 2.0% | 78 | 67 | $2K |
| 92567 | 1.9% | 395 | 333 | $2K | |
| 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 | 1.3% | 26 | 25 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 40 | 38 | $1K |
| 31575 | <1% | 16 | 14 | $679.30 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 97 | 88 | $390.65 |
| 99072 | 0% | 4,219 | 3,837 | $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 officialSULLIVAN, EIIZABETH (CEO)