Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$100K$200K2018201920202021202220232024
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
20183,211$23K
20193,182$22K
20205,659$152K
202131,942$1.13M
202237,187$1.30M
202338,613$1.57M
2024incomplete23,505$881K
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 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)