Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ear Nose Throat Facial Plastic Surgery and Allergy of Western Wa

Ear Nose Throat Facial Plastic Surgery and Allergy of Western Wa was paid $171K by Medicaid between Jan 2018 and Aug 2023, across 10 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 45% of everything it billed.

33Billing provider infoEAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA
ENUMCLAW, WA 98022
33aNPI1346493806assigned 10/28/2008
33bProvider typeOtolaryngology Physician
28Total paid$171K
24GClaims6,786
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other Otolaryngology Physician providers in Washington

Rank by total paid#6 of 21
Median peer was paid$29K
This provider vs. median5.9×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,668$51K
20191,765$55K
20201,199$28K
20211,305$24K
2022629$12K
2023220$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 45% 871 733 $77K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 756 621 $31K
86003 15% 190 175 $26K
95115 7.3% 2,633 1,081 $13K
95117 6.8% 2,086 834 $12K
95024 3.9% 102 58 $7K
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 1.7% 42 39 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 45 42 $3K
92567 <1% 27 24 $226.46
36415 Collection of venous blood by venipuncture <1% 34 32 $43.96

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 officialBECKER, NANCY (PRESIDENT)