Ear Nose & Throat Medical and Surgical Group, LLC

Ear Nose & Throat Medical and Surgical Group, LLC was paid $30K by Medicaid between Feb 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoEAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC
NORTH HAVEN, CT 06473

33aNPI1790854651assigned 11/07/2006

33bProvider typeOtolaryngology Physician

28Total paid$30K

24GClaims1,441

24DCodes billed7

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Otolaryngology Physician providers in Connecticut

Rank by total paid#11 of 26

Median peer was paid$10K

This provider vs. median3.1×

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	69	$1K
2019	194	$4K
2020	217	$4K
2021	321	$7K
2022	345	$8K
2023	185	$3K
2024incomplete	110	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	57%	1,040	945	$17K
31231		28%	183	169	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.5%	81	73	$2K
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	5.4%	69	63	$2K
92557		2.3%	25	24	$682.14
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	1.7%	16	13	$500.85
69210		<1%	27	26	$99.22

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 officialALBERTI, PAUL (MANAGING PHYSICIAN)