Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Elite Ent

Elite Ent was paid $1.70M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 31231, — 20% of everything it billed.

33Billing provider infoELITE ENT
PHOENIX, AZ 85024
33aNPI1457801300assigned 10/04/2016
33bProvider typeOtolaryngology Physician
28Total paid$1.70M
24GClaims35,171
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in Arizona

Rank by total paid#4 of 35
Median peer was paid$65K
This provider vs. median26×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20183,308$173K
20194,628$216K
20205,583$242K
20215,666$289K
20225,717$262K
20236,054$290K
2024incomplete4,215$224K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31231 20% 2,088 2,009 $337K
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% 5,146 4,715 $236K
99243 13% 2,296 2,233 $215K
99244 Office or other outpatient consultation, moderate to high complexity 7.9% 968 939 $134K
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 7.8% 1,854 1,785 $132K
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 7.0% 1,251 1,219 $119K
92557 5.1% 3,015 2,921 $86K
92588 3.5% 1,982 1,945 $60K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.3% 4,259 1,493 $57K
92579 3.0% 1,228 1,220 $51K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 778 769 $49K
69210 2.3% 1,135 1,014 $38K
19 more codes
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2.2% 200 $38K
92567 1.9% 2,245 $31K
92550 1.8% 1,977 $31K
95117 <1% 2,086 $16K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 79 $16K
31575 <1% 148 $15K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 43 $13K
95115 <1% 998 $8K
69990 <1% 475 $4K
95024 <1% 134 $2K
92570 <1% 136 $2K
70486 <1% 28 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 13 $2K
30802 <1% 14 $1K
30930 <1% 14 $655.14
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $385.23
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 385 $0.00
99024 0% 169 $0.00
99070 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 officialVAZQUEZ MD, LUIS (MANAGER)