Physician
Southern Oklahoma Ear Nose Throat and Allgery Clinic INC
Southern Oklahoma Ear Nose Throat and Allgery Clinic INC was paid $126K by Medicaid between Jan 2018 and Dec 2019, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoSOUTHERN OKLAHOMA EAR NOSE THROAT AND ALLGERY CLINIC INC
ARDMORE, OK 73401
ARDMORE, OK 73401
33aNPI1740233733assigned 05/18/2006
33bProvider typeOtolaryngic Allergy Physician
28Total paid$126K
24GClaims2,730
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2019
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 | 1,583 | $72K | |
| 2019 | 1,147 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 455 | 437 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 422 | 422 | $34K |
| 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 | 14% | 126 | 126 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 257 | 253 | $12K |
| 95117 | 5.5% | 1,025 | 380 | $7K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 5.0% | 39 | 39 | $6K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 4.5% | 30 | 30 | $6K |
| 92557 | 3.0% | 168 | 168 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 57 | 57 | $2K |
| 92567 | <1% | 113 | 113 | $1K | |
| 92555 | <1% | 12 | 12 | $217.08 | |
| 95115 | <1% | 26 | 14 | $144.91 |
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 officialDEMPEWOLF, SCOTT (OWNER)