Mark Veronneau Plastics & Ent, PLLC
Mark Veronneau Plastics & Ent, PLLC was paid $2.52M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoMARK VERONNEAU PLASTICS & ENT, PLLC
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1316005044assigned 12/05/2006
33bProvider typeAudiologist
28Total paid$2.52M
24GClaims76,939
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Audiologist providers in Kentucky
Rank by total paid#1 of 19
Median peer was paid$23K
This provider vs. median110×
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 | 14,650 | $480K | |
| 2019 | 13,389 | $438K | |
| 2020 | 12,252 | $347K | |
| 2021 | 11,161 | $304K | |
| 2022 | 9,318 | $315K | |
| 2023 | 8,906 | $357K | |
| 2024incomplete | 7,263 | $276K |
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 | 24% | 18,681 | 15,481 | $612K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 15% | 5,904 | 5,449 | $386K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 6,382 | 5,576 | $380K |
| 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 | 9.6% | 5,025 | 4,317 | $241K |
| 95117 | 8.8% | 19,505 | 7,806 | $220K | |
| 99243 | 5.9% | 1,746 | 1,643 | $147K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 4.4% | 873 | 777 | $110K |
| 92587 | 3.4% | 2,470 | 2,185 | $87K | |
| 95024 | 2.5% | 583 | 466 | $63K | |
| 31575 | 2.4% | 1,636 | 1,369 | $60K | |
| 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 | 2.1% | 667 | 557 | $53K |
| 69210 | 1.4% | 2,068 | 1,732 | $35K |
18 more codes
| 31231 | 1.4% | 670 | $35K | |
| 92567 | 1.2% | 2,510 | $31K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 126 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 659 | $18K |
| 92557 | <1% | 511 | $12K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 50 | $6K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 12 | $3K |
| 99406 | <1% | 21 | $160.97 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $57.27 |
| 1036F | 0% | 1,053 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 340 | $0.00 |
| 1101F | 0% | 23 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,277 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,099 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 881 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 74 | $0.00 |
| 1100F | 0% | 12 | $0.00 | |
| 3288F | 0% | 67 | $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 officialVERONNEAU, MARK (PHYSICIAN)