Physician
Valley Ear Nose & Throat Specialist PA
Valley Ear Nose & Throat Specialist PA was paid $5.08M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoVALLEY EAR NOSE & THROAT SPECIALIST PA
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1386648798assigned 06/13/2005
28Total paid$5.08M
24GClaims143,299
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
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 | 3,211 | $23K | |
| 2019 | 3,182 | $22K | |
| 2020 | 5,659 | $152K | |
| 2021 | 31,942 | $1.13M | |
| 2022 | 37,187 | $1.30M | |
| 2023 | 38,613 | $1.57M | |
| 2024incomplete | 23,505 | $881K |
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 | 29% | 49,183 | 46,031 | $1.48M |
| 99243 | 23% | 13,435 | 13,302 | $1.16M | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 12,620 | 12,307 | $603K |
| 92567 | 5.3% | 25,615 | 24,515 | $268K | |
| 92587 | 4.7% | 16,418 | 15,747 | $238K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 4.3% | 2,110 | 1,307 | $220K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 3.3% | 542 | 534 | $169K |
| 92557 | 3.2% | 5,694 | 5,549 | $162K | |
| 70486 | 2.1% | 1,823 | 1,787 | $107K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.7% | 977 | 968 | $84K |
| 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 | 1.6% | 1,966 | 1,891 | $80K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.4% | 334 | 326 | $73K |
24 more codes
| 17110 | 1.3% | 889 | $64K | |
| 30802 | 1.2% | 673 | $62K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 550 | $42K |
| 61782 | <1% | 341 | $40K | |
| 31298 | <1% | 24 | $34K | |
| 95782 | <1% | 297 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,170 | $27K |
| 95115 | <1% | 3,390 | $22K | |
| 99242 | <1% | 310 | $21K | |
| 95117 | <1% | 2,244 | $17K | |
| 31295 | <1% | 24 | $17K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 318 | $13K |
| 31256 | <1% | 86 | $8K | |
| 69210 | <1% | 343 | $5K | |
| 92511 | <1% | 56 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 59 | $4K |
| 30901 | <1% | 63 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 26 | $3K |
| 42830 | <1% | 28 | $3K | |
| 92626 | <1% | 110 | $2K | |
| 31231 | <1% | 13 | $1K | |
| 92603 | <1% | 14 | $946.16 | |
| 95811 | <1% | 13 | $854.02 | |
| 99024 | <1% | 1,541 | $0.01 |
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 officialTHEIVAGT, CHARLES (PARTNER/OFFICER)