Physician
West Valley Ear Nose and Throat PC
West Valley Ear Nose and Throat PC was paid $1.27M by Medicaid between Jan 2018 and Oct 2019, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 14% of everything it billed.
33Billing provider infoWEST VALLEY EAR NOSE AND THROAT PC
PHOENIX, AZ 85029
PHOENIX, AZ 85029
33aNPI1821191008assigned 09/06/2006
33bProvider typeOtolaryngology Physician
28Total paid$1.27M
24GClaims31,972
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Otolaryngology Physician providers in Arizona
Rank by total paid#5 of 35
Median peer was paid$65K
This provider vs. median19×
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 | 18,032 | $736K | |
| 2019 | 13,940 | $536K |
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 | 14% | 4,662 | 4,361 | $184K |
| 31231 | 13% | 1,159 | 1,081 | $170K | |
| 99243 | 7.2% | 1,056 | 1,039 | $92K | |
| 30140 | 6.5% | 442 | 337 | $83K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.2% | 606 | 598 | $79K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 6.0% | 666 | 640 | $76K |
| 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 | 5.6% | 1,179 | 1,111 | $71K |
| 92557 | 5.5% | 2,716 | 2,584 | $70K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 3.4% | 264 | 254 | $43K |
| 92567 | 3.2% | 3,973 | 3,798 | $40K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.1% | 229 | 188 | $39K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.0% | 296 | 271 | $39K |
18 more codes
| 31575 | 2.9% | 558 | $37K | |
| 99203 | Doctor's office visit, new patient (routine) | 2.7% | 726 | $35K |
| 92588 | 2.6% | 1,342 | $33K | |
| 92579 | 2.6% | 931 | $33K | |
| 95115 | 2.5% | 5,118 | $32K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.8% | 255 | $23K |
| 31237 | 1.6% | 71 | $21K | |
| 95117 | 1.5% | 3,067 | $19K | |
| 70486 | <1% | 133 | $10K | |
| 95024 | <1% | 42 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 578 | $9K |
| 42830 | <1% | 65 | $8K | |
| 30520 | <1% | 35 | $8K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 534 | $5K |
| 92552 | <1% | 73 | $2K | |
| 69990 | <1% | 220 | $1K | |
| 30930 | <1% | 209 | $1K | |
| 99024 | 0% | 767 | $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 officialRIZZO, BRIAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Ent & Allergy Consultants LLC | Phoenix, AZ | $4.83M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.