Spartanburg Ear Nose & Throat, Head & Neck Surgery PA
Spartanburg Ear Nose & Throat, Head & Neck Surgery PA was paid $1.46M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 42% of everything it billed.
33Billing provider infoSPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
33aNPI1225082019assigned 05/19/2006
33bProvider typeSpecialist
28Total paid$1.46M
24GClaims22,505
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#8 of 89
Median peer was paid$41K
This provider vs. median36×
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 | 1,712 | $134K | |
| 2019 | 1,536 | $113K | |
| 2020 | 912 | $80K | |
| 2021 | 1,692 | $125K | |
| 2022 | 4,118 | $276K | |
| 2023 | 6,201 | $376K | |
| 2024incomplete | 6,334 | $360K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 42% | 4,204 | 4,154 | $612K |
| 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 | 25% | 4,504 | 4,280 | $371K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 3,678 | 3,546 | $207K |
| 99243 | 4.9% | 738 | 730 | $72K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.5% | 603 | 310 | $51K |
| 92567 | 2.4% | 3,168 | 3,103 | $36K | |
| 95117 | 1.8% | 3,505 | 2,406 | $27K | |
| 31231 | 1.5% | 166 | 164 | $22K | |
| 92557 | 1.3% | 678 | 658 | $19K | |
| 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% | 171 | 169 | $19K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 59 | 59 | $13K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 58 | 58 | $6K |
5 more codes
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 officialRODGERS, ALLISON (HUMAN RESOURCES)