Physician
Asheville Ear Nose and Throat Surgeons, PA
Asheville Ear Nose and Throat Surgeons, PA was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoASHEVILLE EAR NOSE AND THROAT SURGEONS, PA
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
33aNPI1356303507assigned 04/04/2006
33bProvider typeOtolaryngology Physician
28Total paid$1.25M
24GClaims36,893
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in North Carolina
Rank by total paid#4 of 42
Median peer was paid$109K
This provider vs. median11×
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 | 7,533 | $248K | |
| 2019 | 7,497 | $253K | |
| 2020 | 3,982 | $134K | |
| 2021 | 3,889 | $108K | |
| 2022 | 3,953 | $137K | |
| 2023 | 6,312 | $221K | |
| 2024incomplete | 3,727 | $148K |
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 | 33% | 11,267 | 8,631 | $414K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 2,715 | 2,221 | $160K |
| 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% | 2,794 | 2,129 | $155K |
| 99243 | 9.8% | 1,436 | 1,126 | $122K | |
| 92567 | 7.6% | 9,437 | 7,585 | $95K | |
| 92587 | 7.5% | 3,860 | 3,274 | $94K | |
| 92557 | 4.8% | 2,574 | 2,054 | $59K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.9% | 260 | 217 | $36K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.7% | 200 | 157 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 917 | 681 | $21K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.3% | 125 | 112 | $16K |
| 92579 | 1.2% | 574 | 500 | $15K |
5 more codes
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 officialFENDER, SHELBY (ADMINISTRATOR)