Peninsula Ear, Nose & Throat Clinic, INC.

Peninsula Ear, Nose & Throat Clinic, INC. was paid $115K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoPENINSULA EAR, NOSE & THROAT CLINIC, INC.
KENAI, AK 99611

33aNPI1841469996assigned 02/22/2008

33bProvider typeClinic/Center

28Total paid$115K

24GClaims1,178

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Clinic/Center providers in Alaska

Rank by total paid#26 of 41

Median peer was paid$266K

This provider vs. median0.4×

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	280	$25K
2019	226	$21K
2020	143	$13K
2021	65	$4K
2022	102	$7K
2023	213	$23K
2024incomplete	149	$22K

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	65%	854	762	$74K
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	30%	269	255	$35K
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	2.5%	13	13	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.3%	13	13	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	29	29	$1K

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 officialZIRUL, JAMES (OWNER)