Physician
Associates in Ent & Allergy PA
Associates in Ent & Allergy PA was paid $5.61M by Medicaid between Jan 2018 and May 2023, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoASSOCIATES IN ENT & ALLERGY PA
ELIZABETH, NJ 07208
ELIZABETH, NJ 07208
33aNPI1508868670assigned 08/10/2005
33bProvider typeOtolaryngology Physician
28Total paid$5.61M
24GClaims103,486
24DCodes billed28
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Otolaryngology Physician providers in New Jersey
Rank by total paid#4 of 42
Median peer was paid$43K
This provider vs. median130×
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 | 25,941 | $1.54M | |
| 2019 | 27,893 | $1.73M | |
| 2020 | 17,231 | $986K | |
| 2021 | 12,427 | $621K | |
| 2022 | 14,617 | $524K | |
| 2023 | 5,377 | $216K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 12,978 | 11,627 | $927K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 16% | 5,518 | 4,141 | $916K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 13% | 3,110 | 2,822 | $713K |
| 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 | 8.6% | 4,814 | 4,431 | $481K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.3% | 4,387 | 4,261 | $467K |
| 94200 | 5.9% | 14,738 | 5,704 | $329K | |
| 92504 | 4.8% | 10,083 | 8,964 | $270K | |
| 95117 | 4.5% | 20,353 | 6,812 | $251K | |
| 95027 | 3.8% | 1,343 | 971 | $215K | |
| 99243 | 3.4% | 1,324 | 1,323 | $193K | |
| 94060 | 3.3% | 3,078 | 3,034 | $186K | |
| 92567 | 3.1% | 12,062 | 9,418 | $175K |
16 more codes
| 31231 | 2.3% | 628 | $129K | |
| 92557 | 2.2% | 3,513 | $126K | |
| 92587 | 1.7% | 3,501 | $95K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 335 | $52K |
| 31575 | <1% | 450 | $48K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 424 | $10K |
| 92540 | <1% | 95 | $9K | |
| 69210 | <1% | 203 | $8K | |
| 95115 | <1% | 375 | $4K | |
| 30200 | <1% | 38 | $4K | |
| 92537 | <1% | 27 | $1K | |
| 92582 | <1% | 12 | $902.63 | |
| 92579 | <1% | 14 | $776.52 | |
| 94664 | <1% | 54 | $698.23 | |
| 92555 | <1% | 17 | $433.05 | |
| 99442 | <1% | 12 | $359.21 |
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 officialSAPORTA, DIEGO (PRESIDENT)