Intermountain Ear,nose, and Throat Specialists LLC

Intermountain Ear,nose, and Throat Specialists LLC was paid $162K by Medicaid between Feb 2018 and Nov 2024, across 13 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 36% of everything it billed.

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	54	$1K
2020	14	$0.00
2021	72	$3K
2022	119	$8K
2023	1,639	$79K
2024incomplete	1,271	$70K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	36%	608	589	$59K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	704	657	$29K
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	17%	428	399	$28K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16%	464	435	$27K
92557		4.4%	353	342	$7K
92504		3.8%	100	91	$6K
92550		1.5%	317	308	$2K
70486		1.0%	13	12	$2K
92567		<1%	81	79	$862.64
92588		<1%	14	14	$297.50
69210		<1%	12	12	$196.30
95115		<1%	32	13	$151.74

1 more codes

99072

<1%

43

$61.28

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 officialPEFAUR, EVON (BILLING MANAGER)