Clinic
Greater Carolina Ear Nose &Throat P.A.
Greater Carolina Ear Nose &Throat P.A. was paid $19K by Medicaid between Jan 2018 and Nov 2018, across 11 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 34% of everything it billed.
33Billing provider infoGREATER CAROLINA EAR NOSE &THROAT P.A.
LUMBERTON, NC 28358
LUMBERTON, NC 28358
33aNPI1821179037assigned 10/17/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$19K
24GClaims1,254
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Medical Specialty Clinic/Center providers in North Carolina
Rank by total paid#24 of 31
Median peer was paid$245K
This provider vs. median0.1×
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 | 1,254 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 34% | 119 | 68 | $6K |
| 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 | 26% | 235 | 140 | $5K |
| 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 | 8.6% | 18 | 15 | $2K |
| 95117 | 7.8% | 557 | 154 | $1K | |
| 31231 | 5.7% | 18 | 12 | $1K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 5.6% | 82 | 58 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 49 | 28 | $813.02 |
| 92570 | 3.8% | 105 | 69 | $708.09 | |
| 92588 | 1.3% | 16 | 14 | $247.50 | |
| 92557 | 1.2% | 18 | 15 | $218.67 | |
| 94010 | <1% | 37 | 27 | $180.59 |
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 officialJACKSON, ANITA (OWNER)