Metrowest Ear Nose & Throat Assoc INC
Metrowest Ear Nose & Throat Assoc INC was paid $286K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoMETROWEST EAR NOSE & THROAT ASSOC INC
FRAMINGHAM, MA 01702
FRAMINGHAM, MA 01702
33aNPI1689768616assigned 10/03/2006
33bProvider typeSpecialist
28Total paid$286K
24GClaims9,782
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#39 of 179
Median peer was paid$23K
This provider vs. median12×
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 | 2,190 | $55K | |
| 2019 | 1,802 | $50K | |
| 2020 | 943 | $30K | |
| 2021 | 1,707 | $48K | |
| 2022 | 1,466 | $43K | |
| 2023 | 1,082 | $32K | |
| 2024incomplete | 592 | $29K |
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 | 23% | 2,202 | 2,104 | $67K |
| 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 | 18% | 1,060 | 1,012 | $51K |
| 31231 | 14% | 461 | 430 | $40K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 712 | 702 | $38K |
| 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 | 10% | 395 | 378 | $30K |
| 31575 | 7.8% | 501 | 474 | $22K | |
| 92567 | 5.0% | 2,258 | 2,133 | $14K | |
| 92553 | 3.6% | 503 | 474 | $10K | |
| 92557 | 2.3% | 601 | 573 | $6K | |
| 92588 | 1.6% | 571 | 439 | $4K | |
| 69210 | <1% | 163 | 158 | $2K | |
| 92511 | <1% | 12 | 12 | $837.46 |
2 more codes
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 officialZIMMERMAN, WILLIAM (PRESIDENT)