Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

University Otolaryngology-Head and Neck Surgery, INC.

University Otolaryngology-Head and Neck Surgery, INC. was paid $3.49M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoUNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC.
PROVIDENCE, RI 02905
33aNPI1245350958assigned 03/29/2007
33bProvider typeOtolaryngology Physician
28Total paid$3.49M
24GClaims40,751
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in Rhode Island

Rank by total paid#1 of 16
Median peer was paid$6K
This provider vs. median629×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20185,947$364K
20195,354$376K
20202,668$185K
20213,644$299K
20226,630$594K
20239,039$877K
2024incomplete7,469$793K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 42% 15,179 13,347 $1.45M
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 24% 5,193 4,871 $835K
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% 8,290 6,943 $483K
92567 4.7% 6,772 6,182 $162K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.5% 1,207 1,081 $122K
92546 3.2% 208 183 $113K
92544 2.6% 195 170 $91K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.4% 175 170 $50K
92557 <1% 616 604 $33K
31231 <1% 184 175 $28K
69210 <1% 413 394 $24K
92552 <1% 745 700 $17K
12 more codes
92579 <1% 382 $13K
92541 <1% 211 $13K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 26 $11K
92545 <1% 195 $10K
31575 <1% 71 $9K
92555 <1% 388 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 75 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 123 $6K
42830 <1% 12 $2K
92537 <1% 62 $2K
92504 <1% 15 $512.72
92556 <1% 14 $504.23

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 officialMALONEY, JOSEPH (DIRECTOR OF FINANCE)