Rocky Mountain Ear Nose & Throat Center PC

Rocky Mountain Ear Nose & Throat Center PC was paid $227K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 29% of everything it billed.

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	597	$14K
2019	1,566	$25K
2020	421	$7K
2021	543	$9K
2022	779	$24K
2023	995	$69K
2024incomplete	928	$80K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	29%	442	343	$65K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	22%	431	414	$50K
92557		16%	1,716	1,631	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	316	302	$28K
92567		8.4%	1,799	1,695	$19K
31231		4.9%	120	74	$11K
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	4.0%	71	58	$9K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	2.8%	25	24	$6K
31575		<1%	14	13	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	15	13	$814.87
92504		<1%	13	13	$380.85
69210		<1%	14	14	$353.98

12 more codes

G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	56	$0.00
G8482	Influenza immunization administered or previously received	0%	141	$0.00
G8785	Blood pressure reading not documented, reason not given	0%	41	$0.00
4040F		0%	50	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	207	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	24	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	23	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	31	$0.00
G8756	No documentation of blood pressure measurement, reason not given	0%	14	$0.00
G9969	Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred	0%	188	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	66	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	12	$0.00

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 officialBROE, CPC, CPPM, OCS, KIMBERLY (BILLING DIRECTOR)