Ent & Audiology Associates PLLC
Ent & Audiology Associates PLLC was paid $419K by Medicaid between Jan 2018 and Sep 2023, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoENT & AUDIOLOGY ASSOCIATES PLLC
RALEIGH, NC 27612
RALEIGH, NC 27612
33aNPI1629046479assigned 03/09/2006
33bProvider typeAudiologist
28Total paid$419K
24GClaims10,882
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Audiologist providers in North Carolina
Rank by total paid#3 of 19
Median peer was paid$30K
This provider vs. median14×
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 | 1,989 | $76K | |
| 2019 | 2,067 | $108K | |
| 2020 | 1,289 | $56K | |
| 2021 | 1,727 | $51K | |
| 2022 | 1,458 | $48K | |
| 2023 | 2,352 | $80K |
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 | 28% | 3,105 | 2,302 | $119K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 13% | 392 | 373 | $55K |
| 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 | 11% | 598 | 362 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 926 | 529 | $44K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 10% | 371 | 263 | $43K |
| 92567 | 6.8% | 2,844 | 2,145 | $28K | |
| 99243 | 5.8% | 252 | 243 | $24K | |
| 92579 | 2.9% | 464 | 339 | $12K | |
| 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 | 2.4% | 157 | 133 | $10K |
| 70220 | 2.1% | 462 | 329 | $9K | |
| 69210 | 1.5% | 393 | 303 | $6K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.2% | 32 | 25 | $5K |
6 more codes
| 92552 | 1.2% | 381 | $5K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.1% | 26 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 111 | $5K |
| 92555 | <1% | 262 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 83 | $2K |
| 92557 | <1% | 23 | $421.19 |
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 officialHOLMES, DOUGLAS (CO OWNER)
| Provider | Location | Paid |
|---|---|---|
| Wyoming Retina Associates, PC | Casper, WY | $111K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.