Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA

NPI: 1225082019 · SPARTANBURG, SC 29303 · Specialist · NPI assigned 05/19/2006

$1.46M
Total Medicaid Paid
22,505
Total Claims
20,363
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRODGERS, ALLISON (HUMAN RESOURCES)
NPI Enumeration Date05/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,712 $134K
2019 1,536 $113K
2020 912 $80K
2021 1,692 $125K
2022 4,118 $276K
2023 6,201 $376K
2024 6,334 $360K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99244 Office or other outpatient consultation, moderate to high complexity 4,204 4,154 $612K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,504 4,280 $371K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,678 3,546 $207K
99243 738 730 $72K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 603 310 $51K
92567 3,168 3,103 $36K
95117 3,505 2,406 $27K
31231 166 164 $22K
92557 678 658 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 171 169 $19K
42820 Tonsillectomy and adenoidectomy; younger than age 12 59 59 $13K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 58 58 $6K
95115 718 480 $5K
92587 200 196 $3K
31575 13 13 $943.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 24 $645.83
69210 18 13 $372.70