Ent&sinuscenterabqpc

Ent&sinuscenterabqpc was paid $22K by Medicaid between Feb 2018 and Dec 2019, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 30% of everything it billed.

33Billing provider infoENT&SINUSCENTERABQPC
ALBUQUERQUE, NM 87102

33aNPI1871843599assigned 09/11/2012

33bProvider typeOtolaryngology Physician

28Total paid$22K

24GClaims183

24DCodes billed5

24AFirst – last monthFeb 2018 – Dec 2019

Compared with peers

Next to other Otolaryngology Physician providers in New Mexico

Rank by total paid#4 of 7

Median peer was paid$22K

This provider vs. median1.0×

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	97	$10K
2019	86	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	30%	57	53	$7K
99205	Prolong outpt/office vis	25%	29	28	$5K
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	23%	45	44	$5K
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	14%	40	38	$3K
31231		9.0%	12	12	$2K

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 officialBART, GERALD (PRESIDENT)