Physician
Virginia Ear Nose & Throat Associates PC
Virginia Ear Nose & Throat Associates PC was paid $3.17M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 26% of everything it billed.
33Billing provider infoVIRGINIA EAR NOSE & THROAT ASSOCIATES PC
NORTH CHESTERFIELD, VA 23236
NORTH CHESTERFIELD, VA 23236
33aNPI1356325757assigned 11/30/2005
33bProvider typeOtolaryngology Physician
28Total paid$3.17M
24GClaims50,170
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Virginia
Rank by total paid#2 of 67
Median peer was paid$5K
This provider vs. median590×
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 | 2,908 | $126K | |
| 2019 | 6,913 | $358K | |
| 2020 | 5,398 | $313K | |
| 2021 | 6,113 | $400K | |
| 2022 | 9,624 | $514K | |
| 2023 | 10,551 | $795K | |
| 2024incomplete | 8,663 | $665K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 8,072 | 7,496 | $817K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 13,110 | 11,965 | $669K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 9,164 | 8,340 | $616K |
| 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 | 17% | 7,299 | 6,638 | $538K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 7.6% | 816 | 714 | $241K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,824 | 1,752 | $64K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.5% | 54 | 53 | $46K |
| 92567 | 1.3% | 3,818 | 3,471 | $42K | |
| 69210 | <1% | 891 | 761 | $30K | |
| 92557 | <1% | 1,238 | 1,105 | $29K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 214 | 207 | $28K |
| 95117 | <1% | 2,054 | 1,270 | $17K |
9 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 officialWEST, KIMBERLY (DIRECTOR OF REVENUE CYCLE MGMT)