Physician
Ear, Nose & Throat Associates, PC
Ear, Nose & Throat Associates, PC was paid $3.38M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 24% of everything it billed.
33Billing provider infoEAR, NOSE & THROAT ASSOCIATES, PC
FORT WAYNE, IN 46825
FORT WAYNE, IN 46825
33aNPI1851377691assigned 12/22/2005
33bProvider typeOtolaryngology Physician
28Total paid$3.38M
24GClaims88,847
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Indiana
Rank by total paid#2 of 20
Median peer was paid$176K
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 | 11,786 | $251K | |
| 2019 | 9,163 | $252K | |
| 2020 | 7,114 | $185K | |
| 2021 | 9,265 | $433K | |
| 2022 | 12,851 | $578K | |
| 2023 | 19,254 | $820K | |
| 2024incomplete | 19,414 | $861K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 8,672 | 7,202 | $807K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 18,161 | 15,136 | $719K |
| 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% | 8,211 | 6,665 | $519K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 8,898 | 7,681 | $502K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 5.2% | 914 | 808 | $174K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 4.8% | 1,163 | 1,072 | $162K |
| 92567 | 3.9% | 19,894 | 17,812 | $131K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 2.7% | 762 | 647 | $91K |
| 95117 | 2.0% | 10,311 | 6,303 | $68K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,726 | 1,509 | $39K |
| 31579 | <1% | 376 | 284 | $25K | |
| 92557 | <1% | 1,651 | 1,438 | $24K |
27 more codes
| 92552 | <1% | 1,127 | $20K | |
| 10005 | <1% | 270 | $17K | |
| 92555 | <1% | 986 | $14K | |
| 95115 | <1% | 2,266 | $13K | |
| 92579 | <1% | 364 | $11K | |
| 92524 | <1% | 166 | $8K | |
| 69210 | <1% | 419 | $7K | |
| 92587 | <1% | 373 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 153 | $5K |
| 92546 | <1% | 46 | $4K | |
| 92540 | <1% | 45 | $3K | |
| 30802 | <1% | 12 | $2K | |
| 92553 | <1% | 70 | $2K | |
| 76536 | <1% | 30 | $2K | |
| 96156 | <1% | 104 | $2K | |
| 92548 | <1% | 23 | $947.61 | |
| 92612 | <1% | 22 | $863.82 | |
| 92588 | <1% | 70 | $771.36 | |
| 92550 | <1% | 58 | $451.30 | |
| 92541 | <1% | 23 | $410.75 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 34 | $332.82 |
| 92585 | <1% | 19 | $271.69 | |
| 92545 | <1% | 23 | $271.27 | |
| 99024 | 0% | 343 | $0.00 | |
| 99243 | 0% | 20 | $0.00 | |
| 99072 | 0% | 1,024 | $0.00 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 18 | $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 officialHERR, BRIAN (PARTNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| The Hearing Center LLC | Fort Wayne, IN | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.