West River Ear Nose and Throat, Prof., L.L.C.
West River Ear Nose and Throat, Prof., L.L.C. was paid $30K by Medicaid between Dec 2018 and Feb 2021, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 67% of everything it billed.
33Billing provider infoWEST RIVER EAR NOSE AND THROAT, PROF., L.L.C.
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1861973760assigned 08/28/2018
33bProvider typeAudiologist
28Total paid$30K
24GClaims799
24DCodes billed3
24AFirst – last monthDec 2018 – Feb 2021
Compared with peers
Next to other Audiologist providers in South Dakota
Rank by total paid#2 of 6
Median peer was paid$18K
This provider vs. median1.7×
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 | 30 | $2K | |
| 2019 | 627 | $22K | |
| 2020 | 104 | $5K | |
| 2021 | 38 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 67% | 304 | 284 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 222 | 188 | $7K |
| 95117 | 10% | 273 | 103 | $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 officialSCHLEIFFARTH, JACK (MEMBER-MANAGER)