Ent Medical Services PC
Ent Medical Services PC was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoENT MEDICAL SERVICES PC
IOWA CITY, IA 52245
IOWA CITY, IA 52245
33aNPI1861448342assigned 05/26/2006
33bProvider typeSpecialist
28Total paid$1.07M
24GClaims28,384
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Iowa
Rank by total paid#2 of 26
Median peer was paid$58K
This provider vs. median18×
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 | 2,400 | $108K | |
| 2019 | 3,020 | $127K | |
| 2020 | 3,011 | $116K | |
| 2021 | 5,227 | $185K | |
| 2022 | 6,218 | $230K | |
| 2023 | 5,453 | $195K | |
| 2024incomplete | 3,055 | $109K |
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 | 37% | 8,360 | 7,814 | $392K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 4,392 | 4,172 | $148K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 1,935 | 1,894 | $129K |
| 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 | 9.8% | 1,097 | 1,074 | $105K |
| 95115 | 9.5% | 8,688 | 3,524 | $102K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 8.0% | 1,166 | 1,134 | $86K |
| 31231 | 4.5% | 686 | 655 | $48K | |
| 95024 | 4.2% | 1,344 | 1,247 | $45K | |
| 92567 | <1% | 317 | 308 | $5K | |
| 69210 | <1% | 114 | 111 | $3K | |
| 92504 | <1% | 190 | 172 | $3K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 13 | 13 | $3K |
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 officialSIMPSON, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Iowa City Ambulatory Surgical Center, LLC | Iowa City, IA | $438K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.