Physician
Atlantic Ear Nose & Throat PA
Atlantic Ear Nose & Throat PA was paid $1.09M by Medicaid between Jan 2019 and Dec 2024, across 12 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 40% of everything it billed.
33Billing provider infoATLANTIC EAR NOSE & THROAT PA
ORANGE CITY, FL 32763
ORANGE CITY, FL 32763
33aNPI1710932405assigned 05/23/2006
33bProvider typeOtolaryngology Physician
28Total paid$1.09M
24GClaims12,042
24DCodes billed12
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Florida
Rank by total paid#5 of 51
Median peer was paid$18K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2019 | 1,566 | $125K | |
| 2020 | 1,237 | $102K | |
| 2021 | 2,041 | $190K | |
| 2022 | 1,946 | $183K | |
| 2023 | 2,929 | $283K | |
| 2024incomplete | 2,323 | $209K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 40% | 3,918 | 3,853 | $440K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 4,966 | 4,692 | $360K |
| 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 | 11% | 708 | 700 | $122K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 1,366 | 1,265 | $67K |
| 31575 | 3.4% | 515 | 511 | $37K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.3% | 167 | 160 | $36K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 34 | 32 | $10K |
| 69210 | <1% | 256 | 243 | $9K | |
| 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 | <1% | 58 | 54 | $5K |
| 99243 | <1% | 28 | 28 | $5K | |
| 92557 | <1% | 13 | 12 | $55.49 | |
| 92550 | 0% | 13 | 12 | $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 officialSHAH, DEVANG (PRESIDENT)