WEST COAST EAR NOSE AND THROAT
NPI: 1588868863
· SIMI VALLEY, CA 93065
· Specialist
· NPI assigned 06/12/2007
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | WAREHAM, MARTIN (MANAGING PARTNER) |
| NPI Enumeration Date | 06/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$24.00 |
| 2019 |
43 |
$2K |
| 2021 |
26 |
$2K |
| 2022 |
590 |
$52K |
| 2023 |
1,013 |
$81K |
| 2024 |
403 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
544 |
511 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
743 |
716 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
153 |
$21K |
| 69210 |
|
435 |
429 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
147 |
$13K |
| 31575 |
|
80 |
80 |
$9K |