Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ENT PHYSICIANS INC

NPI: 1871692996 · TOLEDO, OH 43623 · Otolaryngology Physician · NPI assigned 09/22/2006

$427K
Total Medicaid Paid
11,496
Total Claims
10,311
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOYLE, LORI (EXECUTIVE DIRECTOR)
NPI Enumeration Date09/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,641 $142K
2019 3,082 $121K
2020 1,740 $63K
2021 1,166 $33K
2022 916 $28K
2023 555 $21K
2024 396 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,815 4,507 $251K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,748 1,636 $60K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 442 415 $21K
42820 Tonsillectomy and adenoidectomy; younger than age 12 83 82 $14K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 102 98 $14K
99243 262 255 $13K
99223 Prolong inpt eval add15 m 181 170 $11K
V5266 Battery for use in hearing device 2,031 1,647 $10K
92557 404 372 $10K
92567 649 599 $6K
99244 Office or other outpatient consultation, moderate to high complexity 58 54 $4K
95117 497 274 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 26 $2K
99222 Initial hospital care, per day, moderate complexity 40 36 $2K
31575 43 39 $2K
31231 28 27 $2K
69210 64 61 $1K
99232 Subsequent hospital care, per day, moderate complexity 22 13 $232.49