Shelby Ear Nose and Throat
Shelby Ear Nose and Throat was paid $139K by Medicaid between Dec 2018 and Jun 2024, across 8 billing codes. Its largest line is 31298, — 62% of everything it billed.
33Billing provider infoSHELBY EAR NOSE AND THROAT
ALABASTER, AL 35007
ALABASTER, AL 35007
33aNPI1689770174assigned 09/15/2006
33bProvider typeSpecialist
28Total paid$139K
24GClaims359
24DCodes billed8
24AFirst – last monthDec 2018 – Jun 2024
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#58 of 162
Median peer was paid$49K
This provider vs. median2.8×
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 | 15 | $843.10 | |
| 2019 | 64 | $4K | |
| 2020 | 71 | $3K | |
| 2022 | 28 | $1K | |
| 2023 | 128 | $126K | |
| 2024incomplete | 53 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31298 | 62% | 26 | 13 | $86K | |
| 31295 | 24% | 26 | 13 | $34K | |
| 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 | 6.4% | 198 | 154 | $9K |
| 99245 | 3.4% | 33 | 31 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 31 | 28 | $4K |
| 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 | 1.2% | 14 | 14 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 15 | 12 | $843.10 |
| 92567 | <1% | 16 | 12 | $154.00 |
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 officialGOGGINS, MELANIE (OFFICE ADMINSTRATOR)