Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Fayetteville Otolaryngology Head and Neck Surgery P.A.

Fayetteville Otolaryngology Head and Neck Surgery P.A. was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99243, — 42% of everything it billed.

33Billing provider infoFAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY P.A.
FAYETTEVILLE, NC 28304
33aNPI1538189279assigned 07/19/2006
33bProvider typeSpecialist
28Total paid$1.49M
24GClaims40,584
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in North Carolina

Rank by total paid#30 of 172
Median peer was paid$83K
This provider vs. median18×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20185,185$183K
20194,322$180K
20203,188$136K
20215,767$203K
20225,568$204K
20238,178$293K
2024incomplete8,376$288K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99243 42% 7,025 6,332 $617K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 10,645 8,187 $400K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.7% 2,135 1,463 $115K
92567 5.6% 7,671 6,358 $83K
95117 3.4% 7,528 2,251 $50K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 3.2% 489 399 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 1,530 1,264 $42K
92579 2.7% 1,354 1,142 $41K
42820 Tonsillectomy and adenoidectomy; younger than age 12 2.5% 206 162 $37K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.6% 156 141 $24K
69210 <1% 797 605 $13K
92555 <1% 507 440 $5K
7 more codes
99242 <1% 100 $4K
92552 <1% 209 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 12 $2K
99204 Doctor's office visit, new patient (more involved) <1% 15 $1K
92557 <1% 66 $1K
31575 <1% 38 $685.30
95115 <1% 101 $340.94

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 officialPARKS, GWENDOLYN (ADMINISTRATOR)