Supplier
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
HAMPTON, VA 23666
33aNPI1700939980assigned 01/19/2007
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$4.08M
24GClaims86,316
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
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 | 8,320 | $245K | |
| 2019 | 13,838 | $602K | |
| 2020 | 12,502 | $586K | |
| 2021 | 14,431 | $719K | |
| 2022 | 15,672 | $912K | |
| 2023 | 12,854 | $695K | |
| 2024incomplete | 8,699 | $318K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)