Physician
Ent & Allergy Associates, S.C.
Ent & Allergy Associates, S.C. was paid $599K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoENT & ALLERGY ASSOCIATES, S.C.
WAUSAU, WI 54401
WAUSAU, WI 54401
33aNPI1255384301assigned 05/18/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$599K
24GClaims27,537
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Wisconsin
Rank by total paid#5 of 11
Median peer was paid$26K
This provider vs. median23×
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 | 3,909 | $80K | |
| 2019 | 4,710 | $92K | |
| 2020 | 2,743 | $57K | |
| 2021 | 3,492 | $75K | |
| 2022 | 4,473 | $101K | |
| 2023 | 5,240 | $122K | |
| 2024incomplete | 2,970 | $71K |
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 | 21% | 5,647 | 5,072 | $127K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 19% | 2,133 | 1,962 | $111K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 2,661 | 2,478 | $107K |
| 92567 | 15% | 6,899 | 6,349 | $91K | |
| 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 | 9.3% | 1,512 | 1,396 | $56K |
| 99243 | 5.0% | 602 | 515 | $30K | |
| 95117 | 4.3% | 6,263 | 3,702 | $26K | |
| 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 | 2.1% | 234 | 208 | $13K |
| 92557 | 1.8% | 435 | 402 | $10K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.5% | 56 | 39 | $9K |
| 94010 | 1.0% | 174 | 158 | $6K | |
| V5266 | Battery for use in hearing device | <1% | 274 | 257 | $3K |
7 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 officialHINKER, JENNIFER (ADMINISTRATOR)