Cumberland Valley Ent Consultants

Cumberland Valley Ent Consultants was paid $256K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99243, — 32% of everything it billed.

33Billing provider infoCUMBERLAND VALLEY ENT CONSULTANTS
HAGERSTOWN, MD 21742

33aNPI1649272824assigned 06/01/2005

33bProvider typeOtolaryngology Physician

28Total paid$256K

24GClaims3,171

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Maryland

Rank by total paid#5 of 26

Median peer was paid$9K

This provider vs. median29×

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	14	$614.74
2019	54	$2K
2020	696	$79K
2021	564	$46K
2022	279	$23K
2023	369	$32K
2024incomplete	1,195	$73K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		32%	526	515	$83K
99244	Office or other outpatient consultation, moderate to high complexity	20%	235	228	$50K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	550	514	$46K
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	16%	352	336	$42K
92557		4.2%	278	271	$11K
92567		3.9%	567	548	$10K
95115		1.7%	372	168	$4K
69210		1.6%	113	113	$4K
92504		1.4%	106	105	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	59	59	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$138.06

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 officialSAYLOR, MICHAEL (PRESIDENT)