Physician
Modern Nose Clinic LLC
Modern Nose Clinic LLC was paid $28K by Medicaid between May 2019 and Aug 2021, across 8 billing codes. Its largest line is 70486, — 49% of everything it billed.
33Billing provider infoMODERN NOSE CLINIC LLC
SALEM, OR 97302
SALEM, OR 97302
33aNPI1851825566assigned 04/19/2017
33bProvider typeOtolaryngology Physician
28Total paid$28K
24GClaims237
24DCodes billed8
24AFirst – last monthMay 2019 – Aug 2021
Compared with peers
Next to other Otolaryngology Physician providers in Oregon
Rank by total paid#13 of 15
Median peer was paid$106K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 26 | $4K | |
| 2020 | 42 | $7K | |
| 2021 | 169 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 70486 | 49% | 118 | 106 | $13K | |
| 31231 | 18% | 33 | 26 | $5K | |
| 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 | 8.2% | 12 | 12 | $2K |
| 30140 | 6.8% | 14 | 12 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.4% | 12 | 12 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 20 | 19 | $1K |
| 61782 | 4.3% | 14 | 12 | $1K | |
| 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 | 4.3% | 14 | 12 | $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 officialSKARADA, DOUGLAS (MEDICAL DIRECTOR)