Valley Ent, PC

Valley Ent, PC was paid $4.53M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoVALLEY ENT, PC
SCOTTSDALE, AZ 85260

33aNPI1508990185assigned 03/15/2007

33bProvider typeOtolaryngology Physician

28Total paid$4.53M

24GClaims100,317

24DCodes billed33

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Arizona

Rank by total paid#2 of 35

Median peer was paid$65K

This provider vs. median69×

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	16,915	$624K
2019	17,033	$722K
2020	12,554	$527K
2021	13,175	$568K
2022	16,015	$779K
2023	13,492	$739K
2024incomplete	11,133	$577K

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	32%	34,356	32,007	$1.45M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24%	17,916	17,194	$1.07M
31231		11%	3,744	3,473	$509K
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	6.8%	3,287	3,236	$308K
92557		6.6%	11,595	11,147	$300K
92511		5.5%	2,886	2,795	$249K
92567		3.8%	15,494	14,891	$172K
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	3.2%	2,285	2,167	$143K
99243		1.6%	774	759	$75K
31575		1.5%	892	856	$69K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	221	221	$32K
69210		<1%	1,201	1,120	$31K

21 more codes

99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	589	$26K
95117		<1%	2,733	$20K
94010		<1%	751	$19K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	72	$12K
92587		<1%	600	$11K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	65	$10K
70486		<1%	60	$5K
95811		<1%	59	$4K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	13	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	163	$4K
92552		<1%	134	$3K
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	<1%	99	$3K
92579		<1%	40	$2K
92556		<1%	41	$1K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	15	$1K
92540		<1%	12	$1K
92504		<1%	42	$906.15
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	68	$795.30
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	85	$608.34
92537		<1%	12	$445.92
92550		<1%	13	$201.25

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 officialHERNANDEZ, JULIE (BILLING OPERATIONS MANAGER)