Physician
Iowa Ent Center PLLC
Iowa Ent Center PLLC was paid $870K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoIOWA ENT CENTER PLLC
WEST DES MOINES, IA 50265
WEST DES MOINES, IA 50265
33aNPI1528314960assigned 08/02/2012
33bProvider typeOtolaryngology Physician
28Total paid$870K
24GClaims22,619
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Iowa
Rank by total paid#3 of 17
Median peer was paid$64K
This provider vs. median14×
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 | 5,991 | $231K | |
| 2019 | 5,048 | $197K | |
| 2020 | 2,226 | $77K | |
| 2021 | 2,243 | $85K | |
| 2022 | 2,835 | $114K | |
| 2023 | 2,495 | $100K | |
| 2024incomplete | 1,781 | $66K |
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 | 35% | 9,483 | 8,629 | $307K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 2,470 | 2,344 | $160K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 12% | 689 | 672 | $105K |
| 92567 | 11% | 6,373 | 6,047 | $91K | |
| 92587 | 5.4% | 1,173 | 1,121 | $47K | |
| 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 | 5.2% | 937 | 892 | $45K |
| 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 | 4.1% | 381 | 373 | $35K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.5% | 136 | 136 | $30K |
| 31579 | 2.9% | 164 | 158 | $25K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 1.3% | 193 | 163 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 313 | 300 | $9K |
| 92555 | <1% | 165 | 152 | $2K |
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 officialSIMPLOT, TIMOTHY (PHYSICIAN)