Physician
Masdon Ent & Facial Plastic Surgery LLC
Masdon Ent & Facial Plastic Surgery LLC was paid $56K by Medicaid between Aug 2023 and Nov 2024, across 10 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 30% of everything it billed.
33Billing provider infoMASDON ENT & FACIAL PLASTIC SURGERY LLC
GUNTERSVILLE, AL 35976
GUNTERSVILLE, AL 35976
33aNPI1821433608assigned 05/07/2013
33bProvider typeOtolaryngology Physician
28Total paid$56K
24GClaims1,162
24DCodes billed10
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Alabama
Rank by total paid#15 of 29
Median peer was paid$56K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2023 | 606 | $32K | |
| 2024incomplete | 556 | $25K |
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 | 30% | 149 | 148 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 380 | 362 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 91 | 90 | $6K |
| 99243 | 9.6% | 85 | 83 | $5K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 6.4% | 13 | 13 | $4K |
| 31231 | 5.7% | 24 | 24 | $3K | |
| 92567 | 4.2% | 224 | 211 | $2K | |
| 95115 | 2.4% | 165 | 81 | $1K | |
| 92557 | <1% | 19 | 19 | $488.48 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $307.20 |
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 officialMASDON, JAMES (OWNER)