Valley Ear Nose and Throat Associates PC
Valley Ear Nose and Throat Associates PC was paid $231K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoVALLEY EAR NOSE AND THROAT ASSOCIATES PC
ATHENS, AL 35613
ATHENS, AL 35613
33aNPI1912050352assigned 01/19/2007
33bProvider typeSpecialist
28Total paid$231K
24GClaims3,552
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#49 of 162
Median peer was paid$49K
This provider vs. median4.7×
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 | 246 | $15K | |
| 2019 | 500 | $25K | |
| 2020 | 359 | $15K | |
| 2021 | 537 | $22K | |
| 2022 | 835 | $53K | |
| 2023 | 843 | $84K | |
| 2024incomplete | 232 | $17K |
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 | 30% | 1,275 | 1,018 | $68K |
| 30140 | 18% | 247 | 129 | $41K | |
| 31237 | 16% | 318 | 146 | $38K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 855 | 662 | $26K |
| 99243 | 8.4% | 239 | 232 | $19K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 5.2% | 168 | 74 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 199 | 144 | $9K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.9% | 101 | 79 | $9K |
| 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 | 1.4% | 31 | 31 | $3K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.4% | 12 | 12 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | 38 | $917.60 |
| 92567 | <1% | 68 | 67 | $873.60 |
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 officialFRIX, SONYA (BILLING)