Physician
Bay Area Ear, Nose, and Throat Medical Group
Bay Area Ear, Nose, and Throat Medical Group was paid $1.88M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoBAY AREA EAR, NOSE, AND THROAT MEDICAL GROUP
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
33aNPI1558477273assigned 08/23/2006
33bProvider typeOtolaryngology Physician
28Total paid$1.88M
24GClaims21,833
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#10 of 168
Median peer was paid$67K
This provider vs. median28×
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 | 2,562 | $164K | |
| 2019 | 2,710 | $187K | |
| 2020 | 2,076 | $148K | |
| 2021 | 3,310 | $258K | |
| 2022 | 3,006 | $285K | |
| 2023 | 3,777 | $387K | |
| 2024incomplete | 4,392 | $454K |
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 | 39% | 9,852 | 9,241 | $739K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 3,580 | 3,572 | $383K |
| V5298 | Hearing aid, not otherwise classified | 16% | 200 | 200 | $296K |
| 31575 | 5.9% | 867 | 843 | $112K | |
| 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 | 5.4% | 853 | 810 | $101K |
| 69210 | 5.0% | 2,440 | 2,362 | $94K | |
| 92557 | 4.3% | 2,545 | 2,519 | $82K | |
| 31231 | 1.8% | 152 | 151 | $33K | |
| 92567 | 1.2% | 1,069 | 1,061 | $22K | |
| 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 | <1% | 104 | 104 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 171 | 46 | $3K |
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 officialRUBENSTEIN, RONALD (M. D. /OWNER)