Physician
Ear, Nose & Throat Surgeons of Western New England, LLC
Ear, Nose & Throat Surgeons of Western New England, LLC was paid $3.08M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoEAR, NOSE & THROAT SURGEONS OF WESTERN NEW ENGLAND, LLC
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1386685881assigned 06/08/2006
33bProvider typeOtolaryngology Physician
28Total paid$3.08M
24GClaims87,997
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Massachusetts
Rank by total paid#1 of 90
Median peer was paid$14K
This provider vs. median223×
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 | 14,227 | $500K | |
| 2019 | 14,873 | $495K | |
| 2020 | 13,945 | $491K | |
| 2021 | 12,489 | $444K | |
| 2022 | 11,348 | $413K | |
| 2023 | 11,305 | $380K | |
| 2024incomplete | 9,810 | $359K |
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 | 31% | 24,516 | 23,745 | $966K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25% | 12,699 | 12,574 | $779K |
| 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% | 7,503 | 7,345 | $426K |
| 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 | 7.3% | 2,341 | 2,333 | $224K |
| 31575 | 7.0% | 4,062 | 3,976 | $217K | |
| 95117 | 4.1% | 18,690 | 14,145 | $125K | |
| 92567 | 2.7% | 8,070 | 7,948 | $82K | |
| 69210 | 2.4% | 3,975 | 3,834 | $75K | |
| 92557 | 2.0% | 2,748 | 2,677 | $61K | |
| 31231 | 1.9% | 560 | 552 | $59K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.4% | 229 | 224 | $43K |
| 92504 | <1% | 843 | 819 | $11K |
12 more codes
| 92552 | <1% | 312 | $4K | |
| 92556 | <1% | 191 | $3K | |
| 69220 | <1% | 40 | $2K | |
| 95024 | <1% | 64 | $2K | |
| 70486 | <1% | 12 | $585.34 | |
| 92550 | <1% | 55 | $376.56 | |
| 99072 | <1% | 292 | $3.39 | |
| 3008F | 0% | 612 | $0.00 | |
| 1036F | 0% | 126 | $0.00 | |
| 1160F | 0% | 15 | $0.00 | |
| 1159F | 0% | 15 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 27 | $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 officialJACOBS, BARRY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Central Connecticut Pathology Consultants, P.C. | New Britain, CT | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.