Physician
Shenandoah Head and Neck Specialists, PLC
Shenandoah Head and Neck Specialists, PLC was paid $144K by Medicaid between Feb 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoSHENANDOAH HEAD AND NECK SPECIALISTS, PLC
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1659478485assigned 09/20/2006
33bProvider typeOtolaryngology Physician
28Total paid$144K
24GClaims3,458
24DCodes billed7
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Otolaryngology Physician providers in Virginia
Rank by total paid#12 of 67
Median peer was paid$5K
This provider vs. median27×
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 | 227 | $10K | |
| 2019 | 778 | $32K | |
| 2020 | 803 | $36K | |
| 2021 | 604 | $23K | |
| 2022 | 301 | $12K | |
| 2023 | 530 | $23K | |
| 2024incomplete | 215 | $8K |
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 | 51% | 1,535 | 1,407 | $73K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 33% | 712 | 649 | $47K |
| 92567 | 6.8% | 832 | 775 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.7% | 314 | 297 | $10K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.6% | 15 | 12 | $2K |
| 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 | <1% | 20 | 15 | $1K |
| 69210 | <1% | 30 | 26 | $916.99 |
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 officialSALATA, JAMES (PARTNER)