Physician
Heaton Ear Nose and Throat Associates of East Texas P a
Heaton Ear Nose and Throat Associates of East Texas P a was paid $881K by Medicaid between Sep 2020 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoHEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A
TYLER, TX 75703
TYLER, TX 75703
33aNPI1306988035assigned 02/12/2007
33bProvider typeOtolaryngology Physician
28Total paid$881K
24GClaims26,809
24DCodes billed21
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Texas
Rank by total paid#4 of 68
Median peer was paid$55K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2020 | 1,161 | $26K | |
| 2021 | 5,381 | $156K | |
| 2022 | 7,400 | $247K | |
| 2023 | 7,404 | $264K | |
| 2024incomplete | 5,463 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 7,321 | 6,890 | $238K |
| 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 | 12% | 2,469 | 2,271 | $109K |
| 92567 | 9.2% | 6,812 | 6,669 | $81K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.2% | 1,403 | 1,345 | $72K |
| 92579 | 7.8% | 1,951 | 1,902 | $69K | |
| 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 | 6.7% | 772 | 742 | $59K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 6.2% | 336 | 322 | $55K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.2% | 382 | 374 | $46K |
| 92511 | 3.5% | 342 | 329 | $31K | |
| 92557 | 3.3% | 1,068 | 1,039 | $29K | |
| 31231 | 2.7% | 181 | 175 | $24K | |
| 95117 | 2.3% | 2,442 | 1,598 | $21K |
9 more codes
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.9% | 77 | $17K |
| 99243 | 1.3% | 126 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 276 | $6K |
| 69210 | <1% | 284 | $5K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 12 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 44 | $2K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 12 | $1K |
| 92504 | <1% | 47 | $431.91 | |
| 99072 | <1% | 452 | $15.00 |
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 officialGAMBLE, JESSICA (BILLING MANAGER)