Physician
Otolaryngology Associates, LLC
Otolaryngology Associates, LLC was paid $3.08M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoOTOLARYNGOLOGY ASSOCIATES, LLC
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
33aNPI1447398839assigned 02/01/2007
33bProvider typeOtolaryngology/Facial Plastic Surgery Physician
28Total paid$3.08M
24GClaims62,154
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology/Facial Plastic Surgery Physician providers in Indiana
Rank by total paid#1 of 6
Median peer was paid$64K
This provider vs. median48×
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 | 11,612 | $213K | |
| 2019 | 9,762 | $379K | |
| 2020 | 6,770 | $307K | |
| 2021 | 7,012 | $432K | |
| 2022 | 9,076 | $569K | |
| 2023 | 10,499 | $676K | |
| 2024incomplete | 7,423 | $504K |
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% | 17,041 | 15,264 | $766K |
| 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 | 22% | 6,507 | 6,133 | $684K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 9,765 | 9,038 | $568K |
| 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 | 16% | 6,839 | 6,234 | $496K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 6,125 | 5,400 | $147K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.4% | 883 | 740 | $105K |
| 31579 | 2.6% | 781 | 709 | $80K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 1,470 | 1,372 | $52K |
| 99205 | Prolong outpt/office vis | 1.3% | 250 | 239 | $39K |
| 92567 | 1.2% | 6,884 | 6,491 | $38K | |
| 92557 | 1.1% | 2,386 | 2,234 | $34K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 79 | 73 | $16K |
14 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 114 | $13K |
| 95117 | <1% | 1,472 | $9K | |
| 92587 | <1% | 614 | $8K | |
| 31575 | <1% | 464 | $7K | |
| 31231 | <1% | 41 | $5K | |
| 69210 | <1% | 215 | $4K | |
| 99201 | <1% | 77 | $2K | |
| 92652 | <1% | 29 | $2K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 14 | $2K |
| 92546 | <1% | 29 | $984.97 | |
| 69220 | <1% | 15 | $943.59 | |
| 92511 | <1% | 28 | $899.98 | |
| 31237 | 0% | 17 | $0.00 | |
| 92540 | 0% | 15 | $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 officialFAIRCHILD, THOMAS (PRESIDENT)