Clinic
Regional Ent Associates, P.C.
Regional Ent Associates, P.C. was paid $284K by Medicaid between Jan 2018 and Oct 2021, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoREGIONAL ENT ASSOCIATES, P.C.
LEBANON, TN 37087
LEBANON, TN 37087
33aNPI1235170010assigned 06/10/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$284K
24GClaims8,169
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Tennessee
Rank by total paid#3 of 15
Median peer was paid$56K
This provider vs. median5.1×
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 | 2,593 | $86K | |
| 2019 | 2,517 | $88K | |
| 2020 | 1,958 | $71K | |
| 2021 | 1,101 | $40K |
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 | 49% | 4,304 | 3,670 | $140K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 37% | 2,053 | 1,856 | $105K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 7.0% | 124 | 121 | $20K |
| 92567 | 2.1% | 597 | 522 | $6K | |
| 92557 | 2.0% | 336 | 280 | $6K | |
| 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 | 1.7% | 91 | 83 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 64 | 60 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23 | 19 | $376.17 |
| 99024 | 0% | 577 | 467 | $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 officialTATE, JOHN (PRESIDENT)