Physician
West Tennessee Ent Clinic, P.A.
West Tennessee Ent Clinic, P.A. was paid $67K by Medicaid between Aug 2021 and Jul 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 46% of everything it billed.
33Billing provider infoWEST TENNESSEE ENT CLINIC, P.A.
JACKSON, TN 38301
JACKSON, TN 38301
33aNPI1720070535assigned 08/17/2005
33bProvider typeOtolaryngology Physician
28Total paid$67K
24GClaims1,574
24DCodes billed9
24AFirst – last monthAug 2021 – Jul 2024
Compared with peers
Next to other Otolaryngology Physician providers in Tennessee
Rank by total paid#13 of 28
Median peer was paid$44K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2021 | 158 | $6K | |
| 2022 | 549 | $23K | |
| 2023 | 494 | $19K | |
| 2024incomplete | 373 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 461 | 432 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 364 | 327 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 419 | 387 | $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 | 4.4% | 86 | 78 | $3K |
| 92504 | 4.3% | 175 | 160 | $3K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.7% | 12 | 12 | $3K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.4% | 13 | 12 | $2K |
| 92567 | <1% | 31 | 29 | $373.68 | |
| 92557 | <1% | 13 | 13 | $312.84 |
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 officialWAINSCOTT, WILLIAM (PRESIDENT)