Physician
East Tennessee Ear, Nose & Throat Specialists, PC
East Tennessee Ear, Nose & Throat Specialists, PC was paid $2.55M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 27% of everything it billed.
33Billing provider infoEAST TENNESSEE EAR, NOSE & THROAT SPECIALISTS, PC
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
33aNPI1467552216assigned 09/22/2006
28Total paid$2.55M
24GClaims74,764
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 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 | 7,638 | $250K | |
| 2019 | 8,675 | $271K | |
| 2020 | 8,598 | $248K | |
| 2021 | 10,912 | $328K | |
| 2022 | 13,389 | $479K | |
| 2023 | 16,397 | $654K | |
| 2024incomplete | 9,155 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 27% | 8,852 | 8,129 | $688K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 12,617 | 11,083 | $404K |
| 99243 | 10% | 2,890 | 2,747 | $264K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 8.7% | 1,750 | 1,598 | $221K |
| 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 | 7.2% | 4,154 | 3,610 | $185K |
| 95117 | 6.9% | 19,962 | 6,482 | $175K | |
| 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 | 5.7% | 1,827 | 1,708 | $146K |
| 95115 | 2.7% | 12,003 | 4,092 | $70K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 1,248 | 1,168 | $68K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.6% | 413 | 390 | $67K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.2% | 248 | 243 | $56K |
| 92557 | 1.7% | 2,214 | 1,893 | $43K |
10 more codes
| 92567 | 1.6% | 4,159 | $41K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.3% | 365 | $34K |
| 95024 | 1.2% | 336 | $30K | |
| 31231 | 1.1% | 368 | $29K | |
| 31575 | <1% | 292 | $12K | |
| 92504 | <1% | 709 | $10K | |
| 99242 | <1% | 70 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | $3K |
| 95012 | <1% | 110 | $913.14 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $182.56 |
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 officialSMITH, HOLLY (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Play & Say, LLC | Hammond, LA | $1.47M |
| East Tennessee Ear, Nose & Throat Specialists, PC | Corbin, KY | $659K |
| Clarity Ohio | Columbus, OH | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.