Physician
Central Coast Otolaryngology
Central Coast Otolaryngology was paid $5.41M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoCENTRAL COAST OTOLARYNGOLOGY
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1427382811assigned 10/01/2009
33bProvider typeSleep Medicine (Otolaryngology) Physician
28Total paid$5.41M
24GClaims40,933
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 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 | 5,751 | $620K | |
| 2019 | 6,498 | $776K | |
| 2020 | 5,812 | $688K | |
| 2021 | 5,951 | $850K | |
| 2022 | 6,718 | $987K | |
| 2023 | 6,484 | $890K | |
| 2024incomplete | 3,719 | $600K |
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 | 23% | 10,104 | 9,611 | $1.24M |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 21% | 1,872 | 1,865 | $1.15M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 7,116 | 7,032 | $909K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 8,175 | 7,834 | $774K |
| 95811 | 13% | 1,112 | 1,110 | $700K | |
| V5140 | Binaural, behind the ear | 3.7% | 136 | 136 | $198K |
| 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 | 2.5% | 710 | 702 | $133K |
| 92557 | 2.3% | 3,713 | 3,709 | $124K | |
| 92567 | <1% | 5,306 | 5,283 | $54K | |
| 92587 | <1% | 1,198 | 1,183 | $43K | |
| 69210 | <1% | 1,081 | 1,038 | $41K | |
| 31231 | <1% | 147 | 143 | $27K |
8 more codes
| 31575 | <1% | 58 | $6K | |
| V5264 | Ear mold/insert, not disposable, any type | <1% | 94 | $5K |
| 30901 | <1% | 14 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $2K |
| 92588 | <1% | 25 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $1K |
| 92579 | <1% | 18 | $503.46 |
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 officialWIKHOLM, ELIZABETH (OFFICE MANAGER)