EAR, NOSE & THROAT SURGEONS OF WESTERN NEW ENGLAND, LLC

$3.08M

Total Medicaid Paid

87,997

Total Claims

81,874

Beneficiaries

24

Codes Billed

2018-01

First Month

2024-12

Last Month

Authorized Official	JACOBS, BARRY (PRESIDENT)
NPI Enumeration Date	06/08/2006

Provider	City	State	Total Paid
CENTRAL CONNECTICUT PATHOLOGY CONSULTANTS, P.C.	NEW BRITAIN	CT	$56K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24,516	23,745	$966K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12,699	12,574	$779K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	7,503	7,345	$426K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2,341	2,333	$224K
31575		4,062	3,976	$217K
95117		18,690	14,145	$125K
92567		8,070	7,948	$82K
69210		3,975	3,834	$75K
92557		2,748	2,677	$61K
31231		560	552	$59K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	229	224	$43K
92504		843	819	$11K
92552		312	304	$4K
92556		191	183	$3K
69220		40	40	$2K
95024		64	62	$2K
70486		12	12	$585.34
92550		55	55	$376.56
99072		292	277	$3.39
3008F		612	597	$0.00
1036F		126	117	$0.00
1160F		15	14	$0.00
1159F		15	14	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	27	27	$0.00

Medicaid Provider Spending