Covina Ear Nose & Throat Medical Group INC
Covina Ear Nose & Throat Medical Group INC was paid $128K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
COVINA, CA 91723
Next to other Specialist providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 565 | $11K | |
| 2019 | 689 | $21K | |
| 2020 | 441 | $15K | |
| 2021 | 466 | $13K | |
| 2022 | 795 | $26K | |
| 2023 | 1,093 | $27K | |
| 2024incomplete | 986 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 2,846 | 2,649 | $60K |
| 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 | 45% | 1,514 | 1,513 | $57K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 153 | 153 | $6K |
| 31231 | 1.4% | 69 | 68 | $2K | |
| 92553 | 1.3% | 185 | 184 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 39 | 37 | $522.27 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 42 | 42 | $471.45 |
| 92567 | <1% | 163 | 161 | $302.49 | |
| 92550 | <1% | 24 | 24 | $200.46 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lac Vieux Desert Band of Lake Superior Chippewa Indians | Watersmeet, MI | $7.89M |
| Dependable Home Healthcare, LLC | Martinsville, VA | $3.47M |
| Growing Miracles | Milwaukee, WI | $599K |
| J. Barton Williams MD PA | Columbus, MS | $303K |
| Synergy Medical Services LLC | Green Bay, WI | $229K |
| Dignity Respect Transportation, LLC | Hampton, VA | $211K |
| Williams Eye Associates, Od, PLLC | Winston Salem, NC | $135K |
| TLK Dermatology PLLC | Asheboro, NC | $101K |
| DR. Michael Williams D.D.S. | Blytheville, AR | $96K |
| Api Associates, INC. | Washington, DC | $95K |
| Eye to Eye Optometry, INC | Mexico, MO | $69K |
| Health Complete Family Medical Care | Austin, TX | $36K |
| Maui Infectious Diseases LLC | Wailuku, HI | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.