Physician
Ear Nose Throat and Plastic Surgery Associates PC
Ear Nose Throat and Plastic Surgery Associates PC was paid $432K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99243, — 28% of everything it billed.
33Billing provider infoEAR NOSE THROAT AND PLASTIC SURGERY ASSOCIATES PC
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
33aNPI1811178684assigned 11/20/2007
33bProvider typeOtolaryngology Physician
28Total paid$432K
24GClaims11,478
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Michigan
Rank by total paid#13 of 31
Median peer was paid$294K
This provider vs. median1.5×
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 | 2,653 | $104K | |
| 2019 | 2,232 | $88K | |
| 2020 | 1,535 | $57K | |
| 2021 | 1,522 | $54K | |
| 2022 | 1,167 | $41K | |
| 2023 | 1,372 | $49K | |
| 2024incomplete | 997 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 28% | 1,797 | 1,794 | $121K | |
| 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 | 25% | 1,982 | 1,899 | $108K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,227 | 2,171 | $92K |
| 92557 | 8.5% | 1,896 | 1,871 | $37K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 480 | 479 | $25K |
| 92567 | 4.7% | 2,485 | 2,468 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 405 | 405 | $11K |
| 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 | 1.9% | 92 | 92 | $8K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.0% | 47 | 47 | $4K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 28 | 28 | $4K |
| 92579 | <1% | 26 | 25 | $669.50 | |
| 31575 | <1% | 13 | 13 | $655.70 |
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 officialRESCHAK, STEVEN (DIRECTOR)