Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Advanced Ent and Allergy PLLC

Advanced Ent and Allergy PLLC was paid $12.80M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 20% of everything it billed.

33Billing provider infoADVANCED ENT AND ALLERGY PLLC
LOUISVILLE, KY 40220
33aNPI1780817502assigned 08/27/2009
28Total paid$12.80M
24GClaims340,098
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in Kentucky

Rank by total paid#1 of 25
Median peer was paid$13K
This provider vs. median968×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201849,256$1.67M
201953,724$2.05M
202035,515$1.49M
202142,384$1.64M
202248,008$1.71M
202355,623$2.11M
2024incomplete55,588$2.12M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 20% 22,119 20,752 $2.54M
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 16% 38,873 33,526 $2.09M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 45,181 39,752 $1.64M
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 8.9% 12,393 11,219 $1.14M
99244 Office or other outpatient consultation, moderate to high complexity 7.3% 7,989 7,517 $936K
95117 6.8% 96,092 53,092 $876K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 6.2% 7,481 6,468 $794K
31231 5.3% 9,099 8,249 $677K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.0% 8,232 7,420 $507K
99243 3.4% 5,374 5,019 $436K
92567 2.2% 32,573 29,240 $283K
95115 1.9% 32,043 17,563 $245K
22 more codes
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.3% 1,193 $172K
95024 1.1% 2,153 $142K
92579 <1% 2,897 $61K
94010 <1% 2,979 $57K
92557 <1% 3,459 $55K
92552 <1% 3,939 $44K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 184 $35K
92504 <1% 1,939 $21K
31575 <1% 382 $17K
92555 <1% 752 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 391 $5K
92553 <1% 271 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 174 $4K
69210 <1% 283 $4K
76536 <1% 73 $4K
92556 <1% 217 $4K
96401 <1% 57 $3K
70486 <1% 28 $2K
94060 <1% 46 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 30 $463.99
92551 <1% 12 $120.20
99070 <1% 1,190 $48.75

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 officialSYCHEVA-JOHNSON, TATIANA (CHRO)