ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION
NPI: 1750852810
· SAN LUIS OBISPO, CA 93405
· Otolaryngology Physician
· NPI assigned 12/16/2018
$627K
Total Medicaid Paid
Provider Details
| Authorized Official | LEVIN, DAVID (CEO) |
| NPI Enumeration Date | 12/16/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
778 |
$115K |
| 2020 |
1,979 |
$248K |
| 2021 |
949 |
$136K |
| 2022 |
133 |
$21K |
| 2023 |
597 |
$83K |
| 2024 |
177 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31231 |
|
1,061 |
880 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,235 |
1,041 |
$165K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
721 |
714 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
611 |
544 |
$60K |
| 31575 |
|
527 |
439 |
$56K |
| 92504 |
|
352 |
292 |
$9K |
| 70486 |
|
53 |
53 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$5K |
| 31237 |
|
17 |
12 |
$4K |