Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIEDMONT EAR, NOSE & THROAT ASSOCIATES, P.A.

NPI: 1649216631 · WINSTON SALEM, NC 27103 · Otolaryngology Physician · NPI assigned 06/20/2006

$2.50M
Total Medicaid Paid
49,627
Total Claims
37,401
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, THOMAS (PRACTICE ADMINISTRATOR)
NPI Enumeration Date06/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,287 $195K
2019 4,478 $236K
2020 4,040 $199K
2021 6,390 $260K
2022 7,418 $417K
2023 12,535 $623K
2024 10,479 $572K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,640 9,262 $720K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,939 10,560 $534K
99244 Office or other outpatient consultation, moderate to high complexity 3,698 2,800 $432K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,791 1,249 $197K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,523 1,829 $189K
42820 Tonsillectomy and adenoidectomy; younger than age 12 768 582 $119K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,416 1,082 $68K
92567 3,975 3,142 $41K
69210 1,850 1,344 $39K
92557 1,498 1,195 $37K
99243 345 273 $27K
99070 1,776 1,501 $13K
31575 304 187 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 535 450 $13K
31231 201 155 $13K
92504 925 697 $13K
92593 568 410 $10K
42830 118 82 $8K
41010 79 51 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 88 70 $4K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 38 26 $3K
92579 42 27 $908.74
92588 16 13 $556.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 414 348 $518.74
92556 26 25 $460.37
92582 13 12 $297.83
95028 19 13 $132.80
99072 22 16 $0.00