Ear Nose & Throat Specialists, INC.
Ear Nose & Throat Specialists, INC. was paid $139K by Medicaid between Jan 2018 and Mar 2021, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 61% of everything it billed.
33Billing provider infoEAR NOSE & THROAT SPECIALISTS, INC.
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
33aNPI1740372374assigned 09/29/2006
33bProvider typeSpecialist
28Total paid$139K
24GClaims1,489
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Specialist providers in California
Rank by total paid#475 of 1,230
Median peer was paid$51K
This provider vs. median2.7×
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 | 580 | $48K | |
| 2019 | 504 | $45K | |
| 2020 | 275 | $30K | |
| 2021 | 130 | $15K |
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 | 61% | 722 | 708 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 456 | 423 | $35K |
| 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 | 8.3% | 88 | 80 | $12K |
| 92557 | 2.5% | 99 | 96 | $4K | |
| 31231 | 1.7% | 12 | 12 | $2K | |
| 92567 | 1.2% | 112 | 108 | $2K |
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 officialSTEWART, ROBERT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Quitman School | Quitman, AR | $168K |
| Bob Stewart DDS and Associates PA | Pasadena, TX | $43K |
| Sage Traditions Acupuncture INC | Imperial Beach, CA | $5K |
| Dentists at the Commons, PC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.