Physician
Providence Ear Nose & Throat Associates INC
Providence Ear Nose & Throat Associates INC was paid $472K by Medicaid between Mar 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoPROVIDENCE EAR NOSE & THROAT ASSOCIATES INC
CHESTER, PA 19013
CHESTER, PA 19013
33aNPI1366523904assigned 10/18/2006
33bProvider typeOtolaryngology Physician
28Total paid$472K
24GClaims8,503
24DCodes billed17
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Pennsylvania
Rank by total paid#13 of 136
Median peer was paid$13K
This provider vs. median36×
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 | 196 | $314.38 | |
| 2020 | 222 | $10K | |
| 2021 | 1,797 | $85K | |
| 2022 | 2,167 | $125K | |
| 2023 | 2,313 | $145K | |
| 2024incomplete | 1,808 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 3,856 | 3,648 | $222K |
| 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% | 1,191 | 1,177 | $124K |
| 31575 | 7.4% | 343 | 328 | $35K | |
| 92557 | 5.9% | 700 | 692 | $28K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.1% | 315 | 315 | $24K |
| 92567 | 2.8% | 998 | 990 | $13K | |
| 95117 | 1.9% | 686 | 271 | $9K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.1% | 28 | 28 | $5K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.0% | 26 | 25 | $5K |
| 69210 | <1% | 135 | 119 | $4K | |
| 31231 | <1% | 13 | 13 | $2K | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 39 | 39 | $1K |
5 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 40 | $562.64 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 27 | $0.00 |
| 1036F | 0% | 27 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 39 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 40 | $0.00 |
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 officialFEEHERY, JOHN (AUTHORIZED OFFICIAL)