Ent Surgical Associates, P.C.

Ent Surgical Associates, P.C. was paid $20K by Medicaid between Feb 2018 and Jun 2021, across 12 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 39% of everything it billed.

33Billing provider infoENT SURGICAL ASSOCIATES, P.C.
HAZLETON, PA 18201

33aNPI1730397266assigned 05/18/2007

33bProvider typeOtolaryngology Physician

28Total paid$20K

24GClaims693

24DCodes billed12

24AFirst – last monthFeb 2018 – Jun 2021

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#63 of 136

Median peer was paid$13K

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
2018	149	$0.00
2019	25	$0.00
2020	101	$4K
2021	418	$16K

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	39%	121	120	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	213	209	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13%	120	117	$3K
99244	Office or other outpatient consultation, moderate to high complexity	7.9%	13	13	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.3%	27	26	$1K
31231		3.0%	12	12	$588.60
92557		1.5%	13	12	$290.00
1036F		0%	29	28	$0.00
1111F		0%	68	66	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	29	28	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	17	17	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	31	29	$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 officialHOHN, DARREN (VICE PRESIDENT)