Physician
Southwest Idaho Ear, Nose and Throat
Southwest Idaho Ear, Nose and Throat was paid $513K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 40% of everything it billed.
33Billing provider infoSOUTHWEST IDAHO EAR, NOSE AND THROAT
BOISE, ID 83704
BOISE, ID 83704
33aNPI1306823125assigned 12/22/2005
33bProvider typeOtolaryngology Physician
28Total paid$513K
24GClaims9,391
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Idaho
Rank by total paid#1 of 10
Median peer was paid$118K
This provider vs. median4.4×
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 | 885 | $41K | |
| 2019 | 825 | $35K | |
| 2020 | 1,016 | $51K | |
| 2021 | 1,227 | $56K | |
| 2022 | 2,046 | $115K | |
| 2023 | 1,726 | $104K | |
| 2024incomplete | 1,666 | $111K |
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 | 40% | 2,815 | 2,791 | $204K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 2,531 | 2,403 | $134K |
| 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 | 9.7% | 393 | 389 | $50K |
| 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 | 6.4% | 339 | 323 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 730 | 709 | $24K |
| 31231 | 3.5% | 151 | 146 | $18K | |
| 92567 | 3.3% | 1,593 | 1,565 | $17K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.4% | 267 | 262 | $12K |
| 69210 | 1.8% | 443 | 320 | $9K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.1% | 36 | 36 | $6K |
| 30520 | <1% | 12 | 12 | $4K | |
| 92557 | <1% | 67 | 67 | $2K |
1 more codes
| 31575 | <1% | 14 | $703.86 |
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 officialJONES, ARTHUR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Southwest Idaho Surgery Center, INC. | Boise, ID | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.