Carolina Ear, Nose & Throat-Sinus and Allergy Center PA
Carolina Ear, Nose & Throat-Sinus and Allergy Center PA was paid $2.38M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoCAROLINA EAR, NOSE & THROAT-SINUS AND ALLERGY CENTER PA
HICKORY, NC 28601
HICKORY, NC 28601
33aNPI1831151539assigned 04/06/2006
33bProvider typeAudiologist-Hearing Aid Fitter
28Total paid$2.38M
24GClaims61,362
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Audiologist-Hearing Aid Fitter providers in North Carolina
Rank by total paid#2 of 9
Median peer was paid$64K
This provider vs. median37×
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 | 6,651 | $232K | |
| 2019 | 5,910 | $203K | |
| 2020 | 4,062 | $128K | |
| 2021 | 6,589 | $212K | |
| 2022 | 11,421 | $418K | |
| 2023 | 13,504 | $594K | |
| 2024incomplete | 13,225 | $589K |
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 | 28% | 16,357 | 12,779 | $663K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 17% | 3,039 | 2,658 | $413K |
| 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 | 15% | 6,634 | 5,081 | $350K |
| 99243 | 8.4% | 2,225 | 1,896 | $199K | |
| 92567 | 5.0% | 11,036 | 9,069 | $118K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 4.8% | 1,751 | 1,413 | $115K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 4.7% | 803 | 675 | $112K |
| 92587 | 3.4% | 3,050 | 2,529 | $82K | |
| 92557 | 3.3% | 3,017 | 2,432 | $78K | |
| 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 | 2.9% | 786 | 644 | $70K |
| 95117 | 2.6% | 9,492 | 5,621 | $63K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 842 | 627 | $45K |
11 more codes
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.2% | 154 | $28K |
| 69210 | <1% | 499 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 365 | $8K |
| 31579 | <1% | 83 | $6K | |
| 95024 | <1% | 511 | $6K | |
| 92504 | <1% | 218 | $3K | |
| 95115 | <1% | 316 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 109 | $2K |
| 31231 | <1% | 17 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $610.75 |
| 99072 | 0% | 40 | $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 officialFULMER, BROOK (BUSINESS OFFICE)
| Provider | Location | Paid |
|---|---|---|
| Carolina Ear, Nose & Throat-Sinus and Allergy Center PA | Lincolnton, NC | $13K |
| Carolina Ear, Nose & Throat-Sinus and Allergy Center PA | Morganton, NC | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.