Physician
Greenwood Ear Nose and Throat Assoc PA
Greenwood Ear Nose and Throat Assoc PA was paid $855K by Medicaid between Jan 2018 and Jul 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoGREENWOOD EAR NOSE AND THROAT ASSOC PA
GREENWOOD, SC 29646
GREENWOOD, SC 29646
33aNPI1699839878assigned 12/21/2006
33bProvider typeOtolaryngology Physician
28Total paid$855K
24GClaims15,548
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Otolaryngology Physician providers in South Carolina
Rank by total paid#4 of 43
Median peer was paid$5K
This provider vs. median168×
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 | 1,721 | $105K | |
| 2019 | 1,390 | $96K | |
| 2020 | 1,247 | $83K | |
| 2021 | 1,776 | $110K | |
| 2022 | 3,469 | $173K | |
| 2023 | 3,631 | $190K | |
| 2024incomplete | 2,314 | $98K |
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 | 38% | 5,769 | 5,480 | $326K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 21% | 1,031 | 1,024 | $178K |
| 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 | 13% | 1,331 | 1,299 | $115K |
| 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 | 6.5% | 404 | 393 | $56K |
| 99243 | 4.7% | 355 | 347 | $40K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 4.2% | 145 | 145 | $36K |
| 95117 | 3.9% | 3,907 | 2,205 | $33K | |
| 92567 | 2.7% | 1,801 | 1,721 | $23K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.4% | 218 | 112 | $21K |
| 92557 | 1.3% | 383 | 365 | $11K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.2% | 56 | 29 | $10K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | 12 | $2K |
5 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 officialROST, KEVIN (OWNER)