Northwest Iowa Ear Nose and Throat, PC

Northwest Iowa Ear Nose and Throat, PC was paid $175K by Medicaid between Jan 2018 and May 2020, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 32% of everything it billed.

33Billing provider infoNORTHWEST IOWA EAR NOSE AND THROAT, PC
SPENCER, IA 51301

33aNPI1558533265assigned 04/02/2008

33bProvider typeOtolaryngology Physician

28Total paid$175K

24GClaims4,458

24DCodes billed9

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Otolaryngology Physician providers in Iowa

Rank by total paid#8 of 17

Median peer was paid$64K

This provider vs. median2.7×

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	2,530	$100K
2019	1,822	$71K
2020	106	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	32%	912	794	$55K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	1,107	905	$32K
42820	Tonsillectomy and adenoidectomy; younger than age 12	15%	128	117	$26K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	13%	158	149	$22K
92567		11%	1,423	1,217	$20K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.1%	393	322	$9K
92557		4.0%	236	208	$7K
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	1.5%	44	25	$3K
92504		<1%	57	43	$915.13

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 officialJORGENSEN, DANIEL (PRESIDENT/OWNER)