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
PETOSKEY, MI 49770
33aNPI1356394803assigned 05/18/2006
33bProvider typeFacial Plastic Surgery Physician
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
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 | 767 | $39K | |
| 2019 | 398 | $18K | |
| 2020 | 146 | $6K |
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 | 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)