Physician
Ent Head & Neck Specialists PC
Ent Head & Neck Specialists PC was paid $1.06M by Medicaid between Nov 2020 and Nov 2024, across 12 billing codes. Its largest line is 99243, — 34% of everything it billed.
33Billing provider infoENT HEAD & NECK SPECIALISTS PC
WYOMISSING, PA 19610
WYOMISSING, PA 19610
33aNPI1366496473assigned 05/22/2006
33bProvider typeOtolaryngology Physician
28Total paid$1.06M
24GClaims14,958
24DCodes billed12
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Pennsylvania
Rank by total paid#5 of 136
Median peer was paid$13K
This provider vs. median80×
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 | |
|---|---|---|---|
| 2020 | 419 | $34K | |
| 2021 | 3,070 | $223K | |
| 2022 | 3,154 | $221K | |
| 2023 | 4,167 | $304K | |
| 2024incomplete | 4,148 | $277K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 34% | 2,539 | 2,523 | $358K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 3,845 | 3,753 | $195K |
| 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 | 14% | 2,078 | 2,031 | $150K |
| 92557 | 8.0% | 1,721 | 1,700 | $85K | |
| 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 | 7.1% | 633 | 624 | $75K |
| 92567 | 6.2% | 2,978 | 2,949 | $66K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.7% | 329 | 329 | $60K |
| 31231 | 2.6% | 262 | 259 | $27K | |
| 92588 | 1.8% | 219 | 217 | $19K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 242 | 236 | $18K |
| 31575 | <1% | 39 | 38 | $4K | |
| 69210 | <1% | 73 | 53 | $2K |
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 officialCRONIN, SCOTT (PHYSICIAN)