EASTERN CONNECTICUT EAR, NOSE & THROAT PC
NPI: 1861560922
· WILLIMANTIC, CT 06226
· Facial Plastic Surgery Physician
· NPI assigned 11/30/2006
$461K
Total Medicaid Paid
Provider Details
| Authorized Official | TINO, DEBRA (PRACTICE MANAGER) |
| NPI Enumeration Date | 11/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,120 |
$58K |
| 2019 |
4,012 |
$85K |
| 2020 |
2,488 |
$58K |
| 2021 |
3,746 |
$99K |
| 2022 |
4,767 |
$121K |
| 2023 |
1,523 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,201 |
5,338 |
$147K |
| 99243 |
|
1,454 |
1,404 |
$120K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,809 |
1,578 |
$49K |
| 95117 |
|
4,343 |
2,414 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,043 |
929 |
$37K |
| V5266 |
Battery for use in hearing device |
1,331 |
1,276 |
$25K |
| 92557 |
|
1,086 |
1,011 |
$20K |
| 92567 |
|
1,622 |
1,504 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
675 |
573 |
$9K |
| 92511 |
|
49 |
37 |
$2K |
| 69210 |
|
43 |
37 |
$424.06 |