Albemarle Ear Nose & Throat Asthma and Allergy Associates PA

Albemarle Ear Nose & Throat Asthma and Allergy Associates PA was paid $415K by Medicaid between Jan 2018 and Aug 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoALBEMARLE EAR NOSE & THROAT ASTHMA AND ALLERGY ASSOCIATES PA
ELIZABETH CITY, NC 27909

33aNPI1841285293assigned 09/13/2005

33bProvider typeOtolaryngology Physician

28Total paid$415K

24GClaims12,703

24DCodes billed12

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Otolaryngology Physician providers in North Carolina

Rank by total paid#10 of 42

Median peer was paid$109K

This provider vs. median3.8×

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	2,033	$85K
2019	2,031	$87K
2020	1,308	$45K
2021	2,149	$52K
2022	2,347	$65K
2023	2,049	$55K
2024incomplete	786	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	2,157	1,846	$165K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	2,587	1,884	$111K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	14%	667	586	$59K
95117		8.9%	4,658	2,150	$37K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	3.7%	122	96	$16K
99243		2.5%	107	103	$10K
95115		1.1%	722	355	$5K
94010		<1%	225	162	$4K
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%	43	36	$4K
96160		<1%	1,388	1,019	$4K
95024		<1%	15	13	$976.50
94060		<1%	12	12	$493.35

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 officialDONOHOE, MARGARET (OWNER)