Physician
Ear Nose & Throat Assc of Charl INC
Ear Nose & Throat Assc of Charl INC was paid $549K by Medicaid between Jan 2018 and Oct 2021, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoEAR NOSE & THROAT ASSC OF CHARL INC
CHARLESTON, WV 25301
CHARLESTON, WV 25301
33aNPI1295735850assigned 07/26/2005
33bProvider typeOtolaryngology Physician
28Total paid$549K
24GClaims9,242
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Otolaryngology Physician providers in West Virginia
Rank by total paid#2 of 11
Median peer was paid$234K
This provider vs. median2.4×
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 | 3,158 | $197K | |
| 2019 | 1,552 | $91K | |
| 2020 | 2,689 | $166K | |
| 2021 | 1,843 | $96K |
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 | 35% | 4,091 | 3,949 | $190K |
| 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 | 26% | 2,482 | 2,365 | $142K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 2,065 | 1,991 | $133K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 11% | 271 | 247 | $61K |
| 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 | 2.8% | 135 | 130 | $15K |
| 92567 | <1% | 160 | 149 | $4K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 13 | 13 | $3K |
| 92553 | <1% | 25 | 25 | $1K |
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 officialSPORCK, FREDERICK (PHYSICIAN DIRECTOR)