Ear Nose and Throat Associates of San Diego a Medical Corp
Ear Nose and Throat Associates of San Diego a Medical Corp was paid $17.73M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 31231, — 37% of everything it billed.
33Billing provider infoEAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP
LA MESA, CA 91942
LA MESA, CA 91942
33aNPI1811992761assigned 06/16/2005
33bProvider typeSpecialist
28Total paid$17.73M
24GClaims155,316
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#6 of 1,230
Median peer was paid$51K
This provider vs. median345×
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 | 16,587 | $1.87M | |
| 2019 | 19,498 | $2.19M | |
| 2020 | 15,173 | $1.66M | |
| 2021 | 23,704 | $2.65M | |
| 2022 | 23,634 | $2.78M | |
| 2023 | 28,239 | $3.18M | |
| 2024incomplete | 28,481 | $3.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 37% | 36,042 | 35,314 | $6.63M | |
| 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 | 21% | 22,806 | 22,749 | $3.66M |
| 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% | 24,811 | 24,298 | $2.85M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 16,011 | 14,958 | $1.19M |
| 31237 | 3.9% | 2,019 | 1,697 | $697K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 6,566 | 6,548 | $689K |
| 92557 | 3.0% | 15,415 | 15,301 | $527K | |
| 70486 | 1.2% | 1,644 | 1,643 | $222K | |
| 31575 | 1.0% | 2,121 | 2,094 | $183K | |
| 92504 | <1% | 6,428 | 6,130 | $175K | |
| 69210 | <1% | 4,780 | 4,660 | $160K | |
| 92567 | <1% | 9,438 | 9,351 | $126K |
25 more codes
| 30520 | <1% | 212 | $114K | |
| 30117 | <1% | 230 | $81K | |
| 30465 | <1% | 58 | $55K | |
| 92553 | <1% | 1,551 | $53K | |
| 95144 | <1% | 90 | $51K | |
| 30140 | <1% | 233 | $45K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,351 | $38K |
| 30930 | <1% | 462 | $37K | |
| 21026 | <1% | 142 | $33K | |
| 30802 | <1% | 203 | $33K | |
| 99443 | <1% | 208 | $22K | |
| 31295 | <1% | 12 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 314 | $14K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 47 | $10K |
| 92552 | <1% | 336 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 50 | $3K |
| 61782 | <1% | 12 | $2K | |
| 31240 | <1% | 13 | $2K | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 39 | $2K |
| 97750 | <1% | 37 | $1K | |
| 99406 | <1% | 106 | $1K | |
| 99442 | <1% | 16 | $1K | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 227 | $398.10 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 29 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 257 | $0.00 |
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 officialTAYLOR, JOHN (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Evergreen Presbyterian Ministries, INC. | Pineville, LA | $10.42M |
| Evergreen Presbyterian Ministries of East TN | Knoxville, TN | $2.75M |
| Uplift Comprehensive Services | Williamston, NC | $2.45M |
| Evergreen Presbyterian Ministries of West TN | Memphis, TN | $1.21M |
| Evergreen Presbyterian Ministries, INC. | Pineville, LA | $1.04M |
| Evergreen Presbyterian Ministries of Middle TN | Nashville, TN | $868K |
| Evergreen Presbyterian Ministries, INC. | Pineville, LA | $116K |
| John D Taylor MD PA | Pittsburg, KS | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.