Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A

NPI: 1306988035 · TYLER, TX 75703 · Otolaryngology Physician · NPI assigned 02/12/2007

$881K
Total Medicaid Paid
26,809
Total Claims
24,902
Beneficiaries
21
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAMBLE, JESSICA (BILLING MANAGER)
NPI Enumeration Date02/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,161 $26K
2021 5,381 $156K
2022 7,400 $247K
2023 7,404 $264K
2024 5,463 $188K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,321 6,890 $238K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,469 2,271 $109K
92567 6,812 6,669 $81K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,403 1,345 $72K
92579 1,951 1,902 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 772 742 $59K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 336 322 $55K
99244 Office or other outpatient consultation, moderate to high complexity 382 374 $46K
92511 342 329 $31K
92557 1,068 1,039 $29K
31231 181 175 $24K
95117 2,442 1,598 $21K
42820 Tonsillectomy and adenoidectomy; younger than age 12 77 77 $17K
99243 126 125 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 276 267 $6K
69210 284 236 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 44 40 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 12 12 $1K
92504 47 43 $431.91
99072 452 434 $15.00