Clinic
Piedmont Otolaryngology Head & Neck Surgery
Piedmont Otolaryngology Head & Neck Surgery was paid $937K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 31231, — 28% of everything it billed.
33Billing provider infoPIEDMONT OTOLARYNGOLOGY HEAD & NECK SURGERY
FAIRFAX, VA 22031
FAIRFAX, VA 22031
33aNPI1477790228assigned 01/15/2009
33bProvider typeClinic/Center
28Total paid$937K
24GClaims15,818
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Virginia
Rank by total paid#9 of 50
Median peer was paid$120K
This provider vs. median7.8×
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 | 872 | $40K | |
| 2019 | 2,200 | $120K | |
| 2020 | 1,383 | $81K | |
| 2021 | 1,921 | $100K | |
| 2022 | 3,200 | $197K | |
| 2023 | 3,528 | $224K | |
| 2024incomplete | 2,714 | $176K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 28% | 2,056 | 1,753 | $258K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 4,075 | 3,494 | $248K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 3,575 | 2,766 | $141K |
| 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 | 11% | 1,067 | 933 | $106K |
| 31575 | 7.5% | 863 | 746 | $70K | |
| 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 | 6.1% | 938 | 732 | $57K |
| 92557 | 3.0% | 1,170 | 960 | $28K | |
| 92504 | 1.3% | 666 | 570 | $12K | |
| 92567 | 1.3% | 1,158 | 953 | $12K | |
| 69210 | <1% | 250 | 199 | $5K |
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 officialSHARMA, GOPESH (PRESIDENT)