West Coast Ear Nose and Throat
West Coast Ear Nose and Throat was paid $163K by Medicaid between Jul 2018 and Jun 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoWEST COAST EAR NOSE AND THROAT
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
33aNPI1588868863assigned 06/12/2007
33bProvider typeSpecialist
28Total paid$163K
24GClaims2,102
24DCodes billed6
24AFirst – last monthJul 2018 – Jun 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#450 of 1,230
Median peer was paid$51K
This provider vs. median3.2×
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 | 27 | $24.00 | |
| 2019 | 43 | $2K | |
| 2021 | 26 | $2K | |
| 2022 | 590 | $52K | |
| 2023 | 1,013 | $81K | |
| 2024incomplete | 403 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 544 | 511 | $53K |
| 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% | 743 | 716 | $51K |
| 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 | 13% | 153 | 153 | $21K |
| 69210 | 10% | 435 | 429 | $16K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 147 | 147 | $13K |
| 31575 | 5.7% | 80 | 80 | $9K |
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 officialWAREHAM, MARTIN (MANAGING PARTNER)