New England Ear Nose & Throat/Facial Plastic Surgery,p.C.
New England Ear Nose & Throat/Facial Plastic Surgery,p.C. was paid $2.46M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoNEW ENGLAND EAR NOSE & THROAT/FACIAL PLASTIC SURGERY,P.C.
N ANDOVER, MA 01845
N ANDOVER, MA 01845
33aNPI1437197092assigned 06/03/2006
33bProvider typeSpecialist
28Total paid$2.46M
24GClaims48,051
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#10 of 179
Median peer was paid$23K
This provider vs. median106×
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 | 7,831 | $343K | |
| 2019 | 7,387 | $366K | |
| 2020 | 5,102 | $252K | |
| 2021 | 7,539 | $388K | |
| 2022 | 7,809 | $419K | |
| 2023 | 7,069 | $381K | |
| 2024incomplete | 5,314 | $314K |
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 | 25% | 14,208 | 13,770 | $607K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 7,761 | 7,704 | $538K |
| 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 | 21% | 8,228 | 7,973 | $512K |
| 31231 | 12% | 2,503 | 2,421 | $304K | |
| 31575 | 11% | 4,089 | 4,015 | $265K | |
| 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 | 4.0% | 931 | 927 | $98K |
| 92567 | 2.6% | 6,532 | 6,467 | $63K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,197 | 865 | $23K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 903 | 603 | $19K |
| 92557 | <1% | 528 | 523 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 77 | 76 | $7K |
| 95117 | <1% | 848 | 537 | $6K |
7 more codes
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 14 | $3K |
| 95024 | <1% | 42 | $3K | |
| 69210 | <1% | 92 | $2K | |
| 92553 | <1% | 46 | $929.28 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $704.64 |
| 92579 | <1% | 12 | $436.80 | |
| 92552 | <1% | 12 | $231.75 |
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 officialPOSTAL, WILLIAM (PRESIDENT)