Physician
Mid Michigan Ear Nose and Throat PC
Mid Michigan Ear Nose and Throat PC was paid $753K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoMID MICHIGAN EAR NOSE AND THROAT PC
EAST LANSING, MI 48823
EAST LANSING, MI 48823
33aNPI1326133398assigned 10/04/2006
33bProvider typeOtolaryngology Physician
28Total paid$753K
24GClaims17,270
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Michigan
Rank by total paid#10 of 31
Median peer was paid$294K
This provider vs. median2.6×
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 | 2,802 | $90K | |
| 2019 | 2,296 | $75K | |
| 2020 | 1,241 | $43K | |
| 2021 | 1,072 | $44K | |
| 2022 | 3,128 | $98K | |
| 2023 | 3,160 | $143K | |
| 2024incomplete | 3,571 | $261K |
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% | 3,842 | 3,613 | $181K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 2,504 | 2,471 | $173K |
| 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 | 15% | 1,525 | 1,457 | $115K |
| 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 | 11% | 635 | 631 | $83K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 6.0% | 230 | 230 | $45K |
| 92557 | 5.1% | 1,606 | 1,563 | $38K | |
| 92567 | 4.1% | 2,953 | 2,854 | $31K | |
| 95117 | 3.0% | 2,611 | 939 | $22K | |
| 92579 | 2.1% | 489 | 475 | $16K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.1% | 79 | 78 | $16K |
| 95024 | 1.1% | 238 | 224 | $8K | |
| 31575 | <1% | 184 | 163 | $7K |
9 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 57 | $6K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 13 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 40 | $3K |
| 31579 | <1% | 17 | $3K | |
| 99221 | <1% | 42 | $2K | |
| 92558 | <1% | 163 | $968.44 | |
| 99406 | <1% | 15 | $69.94 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 15 | $0.00 |
| 99024 | 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 officialTRGINA, PAM (BUS OFF MGR)