Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hampton Roads Otolaryngology Associates PLLC

Hampton Roads Otolaryngology Associates PLLC was paid $4.08M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 34% of everything it billed.

33Billing provider infoHAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC
HAMPTON, VA 23666
33aNPI1700939980assigned 01/19/2007
28Total paid$4.08M
24GClaims86,316
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20188,320$245K
201913,838$602K
202012,502$586K
202114,431$719K
202215,672$912K
202312,854$695K
2024incomplete8,699$318K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 34% 5,541 5,191 $1.40M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 14,124 12,507 $641K
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 15% 8,594 7,869 $605K
95117 8.2% 43,606 24,114 $336K
95024 6.2% 1,667 1,221 $254K
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 5.5% 2,198 2,107 $225K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.0% 3,071 2,815 $203K
31231 4.9% 1,559 1,404 $201K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3.5% 1,700 1,266 $143K
92504 <1% 1,060 905 $19K
92557 <1% 526 469 $12K
31575 <1% 165 150 $12K
10 more codes
69210 <1% 261 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 164 $6K
92567 <1% 497 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 87 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 15 $656.66
92587 <1% 41 $628.04
98960 <1% 524 $14.39
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 515 $0.00
1036F 0% 389 $0.00

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 officialMARCUM, SHARON (OFFICE MANAGER)