Ear Nose & Throat Surgical Associates SC
Ear Nose & Throat Surgical Associates SC was paid $26K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 47% of everything it billed.
33Billing provider infoEAR NOSE & THROAT SURGICAL ASSOCIATES SC
APPLETON, WI 54911
APPLETON, WI 54911
33aNPI1629094214assigned 07/15/2006
33bProvider typeSpecialist
28Total paid$26K
24GClaims993
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Wisconsin
Rank by total paid#17 of 37
Median peer was paid$19K
This provider vs. median1.4×
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 | 101 | $4K | |
| 2019 | 85 | $4K | |
| 2020 | 120 | $4K | |
| 2021 | 83 | $2K | |
| 2022 | 228 | $5K | |
| 2023 | 320 | $6K | |
| 2024incomplete | 56 | $1K |
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 | 47% | 307 | 270 | $12K |
| 92567 | 15% | 349 | 273 | $4K | |
| 92557 | 9.3% | 116 | 92 | $2K | |
| 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 | 6.6% | 34 | 26 | $2K |
| 99242 | 6.5% | 43 | 39 | $2K | |
| 99243 | 5.7% | 24 | 24 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 46 | 39 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.6% | 29 | 28 | $914.88 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 14 | 13 | $361.80 |
| V5266 | Battery for use in hearing device | 1.2% | 31 | 27 | $307.80 |
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 officialSCHAEFER, KENT (PRESIDENT)