Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Petoskey › NPI 1356394803
Physician

Northwoods Ear, Nose & Throat PC

Northwoods Ear, Nose & Throat PC was paid $63K by Medicaid between Jan 2018 and Aug 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoNORTHWOODS EAR, NOSE & THROAT PC
PETOSKEY, MI 49770
33aNPI1356394803assigned 05/18/2006
28Total paid$63K
24GClaims1,311
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers

Next to other Facial Plastic Surgery Physician providers in Michigan

Rank by total paid#5 of 8
Median peer was paid$63K
This provider vs. median1.0×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018767$39K
2019398$18K
2020146$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46% 765 717 $29K
99244 Office or other outpatient consultation, moderate to high complexity 20% 128 127 $13K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 15% 117 105 $9K
99243 14% 125 125 $9K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2.2% 12 12 $1K
92557 1.9% 56 56 $1K
92567 1.4% 108 106 $849.47

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 officialSLATER, JAMES (OWNER)