Physician
Ear, Nose & Throat Physicians of North Miss., P.A.
Ear, Nose & Throat Physicians of North Miss., P.A. was paid $2.27M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoEAR, NOSE & THROAT PHYSICIANS OF NORTH MISS., P.A.
TUPELO, MS 38801
TUPELO, MS 38801
33aNPI1861507311assigned 08/21/2006
33bProvider typeOtolaryngology Physician
28Total paid$2.27M
24GClaims53,985
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Mississippi
Rank by total paid#1 of 17
Median peer was paid$225K
This provider vs. median10×
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 | 9,231 | $351K | |
| 2019 | 9,589 | $356K | |
| 2020 | 6,989 | $294K | |
| 2021 | 8,370 | $372K | |
| 2022 | 8,290 | $379K | |
| 2023 | 8,742 | $367K | |
| 2024incomplete | 2,774 | $146K |
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 | 51% | 21,142 | 18,317 | $1.16M |
| 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 | 15% | 4,208 | 3,892 | $350K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 7.7% | 1,135 | 1,011 | $174K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 3,426 | 2,879 | $129K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 2,173 | 1,907 | $109K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.7% | 686 | 624 | $85K |
| 99243 | 3.4% | 940 | 810 | $76K | |
| 92567 | 2.3% | 5,627 | 4,929 | $52K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.3% | 274 | 259 | $51K |
| 92504 | <1% | 1,219 | 1,033 | $19K | |
| 99242 | <1% | 171 | 166 | $11K | |
| 92557 | <1% | 771 | 677 | $11K |
22 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 205 | $6K |
| 92587 | <1% | 425 | $6K | |
| 99245 | <1% | 84 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 33 | $4K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 424 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $3K |
| 31575 | <1% | 69 | $3K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 12 | $2K |
| 86003 | <1% | 15 | $1K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 66 | $631.31 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 111 | $471.60 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 105 | $459.54 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 26 | $179.21 |
| 99406 | <1% | 258 | $133.63 | |
| 69210 | <1% | 17 | $112.49 | |
| G8484 | Influenza immunization was not administered, reason not given | <1% | 5,168 | $12.14 |
| G8867 | Pneumococcal vaccine not administered or previously received, reason not given | 0% | 164 | $0.00 |
| 99024 | 0% | 109 | $0.00 | |
| 1036F | 0% | 48 | $0.00 | |
| 4035F | 0% | 4,563 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 138 | $0.00 |
| A4208 | Syringe with needle, sterile 3 cc, each | 0% | 109 | $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 officialBERRY, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Taney County Health Dept | Forsyth, MO | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.