East Tennessee Ear, Nose & Throat Specialists, PC

East Tennessee Ear, Nose & Throat Specialists, PC was paid $659K by Medicaid between Jan 2018 and Jan 2024, across 19 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 28% of everything it billed.

33Billing provider infoEAST TENNESSEE EAR, NOSE & THROAT SPECIALISTS, PC
CORBIN, KY 40701

33aNPI1467664037assigned 05/04/2007

33bProvider typeOtolaryngology Physician

28Total paid$659K

24GClaims12,944

24DCodes billed19

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Otolaryngology Physician providers in Kentucky

Rank by total paid#3 of 17

Median peer was paid$37K

This provider vs. median18×

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	1,365	$94K
2019	1,901	$112K
2020	2,401	$113K
2021	2,574	$126K
2022	2,510	$109K
2023	2,171	$105K
2024incomplete	22	$2K

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	28%	1,721	1,602	$182K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	3,445	3,216	$110K
99243		14%	1,181	1,148	$92K
99244	Office or other outpatient consultation, moderate to high complexity	12%	692	674	$78K
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	7.9%	1,165	1,042	$52K
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	5.5%	499	477	$36K
42820	Tonsillectomy and adenoidectomy; younger than age 12	5.0%	185	174	$33K
92567		2.9%	1,699	1,633	$19K
95117		2.9%	1,581	563	$19K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	2.7%	126	110	$18K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	111	100	$5K
95024		<1%	55	39	$4K

7 more codes

95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	56	$3K
31575		<1%	80	$3K
92557		<1%	102	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	59	$1K
95115		<1%	157	$1K
99242		<1%	14	$854.67
92504		<1%	16	$153.39

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)

Same official

Other billing entities under SMITH, HOLLY

Full network →

Provider	Location	Paid
East Tennessee Ear, Nose & Throat Specialists, PC	Oak Ridge, TN	$2.55M
Play & Say, LLC	Hammond, LA	$1.47M
Clarity Ohio	Columbus, OH	$67K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.