Allphin, Allan

Allphin, Allan was paid $337K by Medicaid between Jan 2018 and Jul 2020, across 6 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 34% of everything it billed.

33Billing provider infoALLPHIN, ALLAN
SPRINGFIELD, MO 65804

33aNPI1538246723assigned 11/01/2006

33bProvider typeOtolaryngology Physician

28Total paid$337K

24GClaims2,316

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Otolaryngology Physician providers in Missouri

Rank by total paid#3 of 53

Median peer was paid$17K

This provider vs. median20×

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	999	$149K
2019	1,005	$150K
2020	312	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	34%	446	429	$115K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	31%	1,238	1,213	$106K
42820	Tonsillectomy and adenoidectomy; younger than age 12	30%	341	339	$100K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.0%	198	195	$10K
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	1.7%	78	78	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	15	$534.47

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.