Physician
California Ear, Nose, & Throat - Head & Neck Surgery Medical Corp.
California Ear, Nose, & Throat - Head & Neck Surgery Medical Corp. was paid $1.39M by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 31231, — 44% of everything it billed.
33Billing provider infoCALIFORNIA EAR, NOSE, & THROAT - HEAD & NECK SURGERY MEDICAL CORP.
HEMET, CA 92543
HEMET, CA 92543
33aNPI1558553503assigned 08/14/2007
33bProvider typeOtolaryngology Physician
28Total paid$1.39M
24GClaims13,161
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#12 of 168
Median peer was paid$67K
This provider vs. median21×
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 | 1,235 | $128K | |
| 2019 | 2,162 | $258K | |
| 2020 | 1,866 | $189K | |
| 2021 | 1,815 | $195K | |
| 2022 | 1,656 | $185K | |
| 2023 | 2,445 | $230K | |
| 2024incomplete | 1,982 | $205K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 44% | 3,522 | 3,514 | $612K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 6,123 | 5,972 | $436K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 3,009 | 3,003 | $303K |
| 31575 | 2.6% | 457 | 453 | $37K | |
| 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% | 13 | 13 | $2K |
| 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% | 25 | 25 | $1K |
| 92504 | <1% | 12 | 12 | $138.22 |
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 officialCARVALHO, GERARD (PRESIDENT)