Physician
Sumter Ear, Nose, Throat & Facial Plastic Surgery, LLC
Sumter Ear, Nose, Throat & Facial Plastic Surgery, LLC was paid $436K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoSUMTER EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, LLC
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1285679290assigned 06/17/2006
33bProvider typeOtolaryngology Physician
28Total paid$436K
24GClaims6,502
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in South Carolina
Rank by total paid#7 of 43
Median peer was paid$5K
This provider vs. median86×
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 | 1,496 | $72K | |
| 2019 | 1,184 | $68K | |
| 2020 | 817 | $58K | |
| 2021 | 642 | $51K | |
| 2022 | 877 | $68K | |
| 2023 | 757 | $58K | |
| 2024incomplete | 729 | $60K |
Box 24 · Service lines
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 | 67% | 3,410 | 3,160 | $294K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 19% | 551 | 550 | $82K |
| 92504 | 4.4% | 895 | 815 | $19K | |
| 92587 | 3.2% | 588 | 580 | $14K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 224 | 214 | $12K |
| 92567 | 1.9% | 652 | 642 | $8K | |
| 92579 | <1% | 104 | 104 | $4K | |
| 99245 | <1% | 13 | 13 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| 92555 | <1% | 52 | 52 | $614.68 |
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 officialLOVICE, DAVID (OWNER/PARTNER)