Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ASHEVILLE EAR NOSE AND THROAT SURGEONS, PA

NPI: 1356303507 · ASHEVILLE, NC 28803 · Otolaryngology Physician · NPI assigned 04/04/2006

$1.25M
Total Medicaid Paid
36,893
Total Claims
29,340
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFENDER, SHELBY (ADMINISTRATOR)
NPI Enumeration Date04/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,727 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,267 8,631 $414K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,715 2,221 $160K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,794 2,129 $155K
99243 1,436 1,126 $122K
92567 9,437 7,585 $95K
92587 3,860 3,274 $94K
92557 2,574 2,054 $59K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 260 217 $36K
42820 Tonsillectomy and adenoidectomy; younger than age 12 200 157 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 917 681 $21K
99244 Office or other outpatient consultation, moderate to high complexity 125 112 $16K
92579 574 500 $15K
V5266 Battery for use in hearing device 437 403 $12K
99242 133 113 $9K
69210 126 109 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 14 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 21 14 $940.77