Physician
Pueblo Ear Nose & Throat Specialist
Pueblo Ear Nose & Throat Specialist was paid $578K by Medicaid between Jan 2018 and May 2023, across 11 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 32% of everything it billed.
33Billing provider infoPUEBLO EAR NOSE & THROAT SPECIALIST
PUEBLO, CO 81005
PUEBLO, CO 81005
33aNPI1306175484assigned 12/18/2009
33bProvider typeOtolaryngology Physician
28Total paid$578K
24GClaims9,006
24DCodes billed11
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Otolaryngology Physician providers in Colorado
Rank by total paid#2 of 38
Median peer was paid$21K
This provider vs. median27×
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 | 1,810 | $96K | |
| 2019 | 2,155 | $114K | |
| 2020 | 1,548 | $79K | |
| 2021 | 1,582 | $139K | |
| 2022 | 1,582 | $123K | |
| 2023 | 329 | $28K |
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 | 32% | 2,578 | 2,340 | $184K |
| 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 | 26% | 1,242 | 1,201 | $150K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,882 | 2,615 | $135K |
| 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 | 9.1% | 722 | 679 | $53K |
| 92511 | 6.3% | 349 | 336 | $37K | |
| 92567 | 1.4% | 877 | 806 | $8K | |
| 31231 | <1% | 102 | 97 | $4K | |
| 31575 | <1% | 101 | 91 | $2K | |
| 31579 | <1% | 13 | 12 | $2K | |
| 92557 | <1% | 71 | 68 | $2K | |
| 69210 | <1% | 69 | 62 | $773.23 |
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 officialHICKSON, CHARLENE (OWNER)