Ear, Nose and Throat of Michiana P.C.
Ear, Nose and Throat of Michiana P.C. was paid $307K by Medicaid between Jan 2018 and Dec 2023, across 14 billing codes. Its largest line is 31231, — 38% of everything it billed.
33Billing provider infoEAR, NOSE AND THROAT OF MICHIANA P.C.
GRANGER, IN 46530
GRANGER, IN 46530
33aNPI1295726198assigned 10/31/2005
33bProvider typeSpecialist
28Total paid$307K
24GClaims6,202
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Specialist providers in Indiana
Rank by total paid#35 of 90
Median peer was paid$98K
This provider vs. median3.1×
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 | 2,115 | $99K | |
| 2019 | 2,033 | $94K | |
| 2020 | 932 | $36K | |
| 2021 | 591 | $36K | |
| 2022 | 206 | $17K | |
| 2023 | 325 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 38% | 1,216 | 1,137 | $118K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,933 | 1,815 | $90K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 12% | 264 | 241 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 319 | 311 | $19K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 4.5% | 117 | 115 | $14K |
| 92567 | 3.7% | 1,652 | 1,524 | $11K | |
| 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 | 3.1% | 123 | 114 | $9K |
| 92587 | 1.1% | 251 | 238 | $3K | |
| 92552 | <1% | 164 | 154 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | 56 | $2K |
| 92557 | <1% | 44 | 39 | $996.99 | |
| 69210 | <1% | 18 | 17 | $478.77 |
2 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 officialCAMPBELL, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Journey Treatment Center | Cottonwood Heights, UT | $1.86M |
| DR. Campbell's Century Dental Office, DR. Campbell, DDS, INC. | Altadena, CA | $743K |
| Lakeside North Family Medicine, LLC | Guntersville, AL | $401K |
| Institute for Research and Education in Family Medicine | Saint Louis, MO | $400K |
| Rural Health Care Innovations | Allen, OK | $201K |
| Threehorn LTD. Co. | Walhalla, SC | $180K |
| DR. Campbell's Century Dental | Inglewood, CA | $163K |
| Lakeside North Family Medicine, LLC | Guntersville, AL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.