Physician
Ent Physicians INC
Ent Physicians INC was paid $427K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoENT PHYSICIANS INC
TOLEDO, OH 43623
TOLEDO, OH 43623
33aNPI1871692996assigned 09/22/2006
33bProvider typeOtolaryngology Physician
28Total paid$427K
24GClaims11,496
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Ohio
Rank by total paid#7 of 41
Median peer was paid$62K
This provider vs. median6.9×
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 | 3,641 | $142K | |
| 2019 | 3,082 | $121K | |
| 2020 | 1,740 | $63K | |
| 2021 | 1,166 | $33K | |
| 2022 | 916 | $28K | |
| 2023 | 555 | $21K | |
| 2024incomplete | 396 | $20K |
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 | 59% | 4,815 | 4,507 | $251K |
| 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% | 1,748 | 1,636 | $60K |
| 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% | 442 | 415 | $21K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.4% | 83 | 82 | $14K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.3% | 102 | 98 | $14K |
| 99243 | 3.1% | 262 | 255 | $13K | |
| 99223 | Prolong inpt eval add15 m | 2.5% | 181 | 170 | $11K |
| V5266 | Battery for use in hearing device | 2.3% | 2,031 | 1,647 | $10K |
| 92557 | 2.3% | 404 | 372 | $10K | |
| 92567 | 1.5% | 649 | 599 | $6K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.0% | 58 | 54 | $4K |
| 95117 | 1.0% | 497 | 274 | $4K |
6 more codes
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 officialCOYLE, LORI (EXECUTIVE DIRECTOR)