Pacific Ear Nose and Throat Associates INC

Pacific Ear Nose and Throat Associates INC was paid $175K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 47% of everything it billed.

33Billing provider infoPACIFIC EAR NOSE AND THROAT ASSOCIATES INC
SAN FRANCISCO, CA 94108

33aNPI1295893345assigned 12/04/2006

33bProvider typeOtolaryngology Physician

28Total paid$175K

24GClaims4,261

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in California

Rank by total paid#60 of 168

Median peer was paid$67K

This provider vs. median2.6×

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	138	$691.49
2019	334	$2K
2020	285	$6K
2021	732	$31K
2022	600	$20K
2023	1,075	$56K
2024incomplete	1,097	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	47%	1,113	1,112	$82K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	2,567	2,411	$73K
92557		5.8%	278	277	$10K
69210		4.2%	178	178	$7K
31231		<1%	12	12	$1K
31505		<1%	12	12	$667.92
92504		<1%	25	25	$573.66
99243		<1%	38	38	$203.52
92567		<1%	38	38	$83.11

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 officialLOUIE, DEXTER (PRESIDENT)