Physician
Sacramento Ear Nose & Throat Surgical & Medical Group INC
Sacramento Ear Nose & Throat Surgical & Medical Group INC was paid $7.21M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoSACRAMENTO EAR NOSE & THROAT SURGICAL & MEDICAL GROUP INC
SACRAMENTO, CA 95815
SACRAMENTO, CA 95815
33aNPI1497758155assigned 05/24/2005
33bProvider typeAllergy & Immunology Physician
28Total paid$7.21M
24GClaims185,380
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in California
Rank by total paid#2 of 68
Median peer was paid$64K
This provider vs. median112×
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 | 21,824 | $1.16M | |
| 2019 | 29,592 | $1.08M | |
| 2020 | 23,643 | $823K | |
| 2021 | 27,772 | $1.02M | |
| 2022 | 27,395 | $1.12M | |
| 2023 | 27,722 | $870K | |
| 2024incomplete | 27,432 | $1.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 25,928 | 24,614 | $2.13M |
| 99243 | 15% | 17,545 | 17,445 | $1.10M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 22,804 | 21,796 | $810K |
| 95144 | 8.0% | 2,921 | 1,516 | $577K | |
| 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 | 6.6% | 5,818 | 5,792 | $479K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.7% | 3,073 | 3,064 | $414K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 5.2% | 5,124 | 5,007 | $378K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 6,839 | 6,781 | $293K |
| 92557 | 3.1% | 12,453 | 12,309 | $220K | |
| 92550 | 2.9% | 20,106 | 19,689 | $207K | |
| 92587 | 1.0% | 6,102 | 6,005 | $74K | |
| 31231 | 1.0% | 2,254 | 2,091 | $72K |
31 more codes
| 92504 | <1% | 10,714 | $72K | |
| 95115 | <1% | 16,175 | $71K | |
| 31575 | <1% | 1,672 | $52K | |
| 92579 | <1% | 1,938 | $45K | |
| 95117 | <1% | 13,114 | $42K | |
| 92582 | <1% | 1,302 | $30K | |
| 94010 | <1% | 1,601 | $29K | |
| 99205 | Prolong outpt/office vis | <1% | 346 | $21K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 277 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 873 | $10K |
| 69210 | <1% | 342 | $8K | |
| 70486 | <1% | 63 | $7K | |
| 92555 | <1% | 910 | $7K | |
| 41010 | <1% | 82 | $6K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 126 | $6K |
| 94200 | <1% | 483 | $6K | |
| 96401 | <1% | 121 | $5K | |
| 95044 | <1% | 13 | $4K | |
| 15770 | <1% | 55 | $3K | |
| 92553 | <1% | 471 | $3K | |
| 40819 | <1% | 13 | $2K | |
| 92567 | <1% | 360 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 27 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 31 | $777.14 |
| 99072 | <1% | 3,166 | $412.11 | |
| 95024 | <1% | 13 | $408.43 | |
| 95867 | <1% | 41 | $59.77 | |
| 96160 | <1% | 25 | $31.08 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $18.64 |
| 69990 | 0% | 31 | $0.00 | |
| 69310 | 0% | 14 | $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 officialWEBER, TERRI (CFO)