Physician
Center for Ear Nose Throat and Allergy PC
Center for Ear Nose Throat and Allergy PC was paid $382K by Medicaid between Jan 2018 and Jun 2021, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoCENTER FOR EAR NOSE THROAT AND ALLERGY PC
CARMEL, IN 46032
CARMEL, IN 46032
33aNPI1295752806assigned 07/17/2006
33bProvider typeOtolaryngology Physician
28Total paid$382K
24GClaims9,935
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Otolaryngology Physician providers in Indiana
Rank by total paid#8 of 20
Median peer was paid$176K
This provider vs. median2.2×
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 | 2,309 | $26K | |
| 2019 | 3,487 | $147K | |
| 2020 | 2,547 | $110K | |
| 2021 | 1,592 | $100K |
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 | 25% | 3,147 | 2,451 | $96K |
| 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 | 22% | 1,618 | 1,314 | $84K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 21% | 787 | 654 | $81K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 1,197 | 1,072 | $66K |
| 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 | 7.9% | 421 | 353 | $30K |
| 95117 | 2.2% | 1,610 | 612 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 51 | 43 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 153 | 135 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 33 | 26 | $3K |
| 92567 | <1% | 616 | 464 | $2K | |
| 31575 | <1% | 85 | 79 | $725.29 | |
| 92597 | <1% | 22 | 12 | $334.94 |
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 officialKROWIAK, EDWARD (PRESIDENT)