Biltmore Ear Nose and Throat, PC
Biltmore Ear Nose and Throat, PC was paid $12.21M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 31231, — 24% of everything it billed.
33Billing provider infoBILTMORE EAR NOSE AND THROAT, PC
PHOENIX, AZ 85018
PHOENIX, AZ 85018
33aNPI1942489042assigned 10/25/2007
33bProvider typeAudiologist
28Total paid$12.21M
24GClaims183,059
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Audiologist providers in Arizona
Rank by total paid#1 of 9
Median peer was paid$92K
This provider vs. median132×
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 | 30,781 | $2.01M | |
| 2019 | 29,529 | $1.75M | |
| 2020 | 23,567 | $1.43M | |
| 2021 | 26,240 | $1.85M | |
| 2022 | 24,361 | $1.71M | |
| 2023 | 26,221 | $1.87M | |
| 2024incomplete | 22,360 | $1.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 24% | 18,577 | 17,609 | $2.91M | |
| 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 | 13% | 16,734 | 16,270 | $1.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 33,947 | 31,776 | $1.50M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 24,023 | 23,256 | $1.49M |
| 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 | 9.2% | 17,236 | 16,283 | $1.12M |
| 30140 | 6.7% | 4,846 | 4,525 | $818K | |
| 31237 | 5.4% | 2,299 | 1,809 | $655K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.3% | 1,717 | 1,618 | $405K |
| 92557 | 2.8% | 12,775 | 12,379 | $344K | |
| 92567 | 1.9% | 19,912 | 19,361 | $235K | |
| 31575 | 1.7% | 2,417 | 2,274 | $203K | |
| 92504 | 1.2% | 6,590 | 6,148 | $145K |
28 more codes
| 92587 | <1% | 5,877 | $109K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 622 | $99K |
| 30520 | <1% | 232 | $96K | |
| 69210 | <1% | 2,822 | $87K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 326 | $86K |
| 95117 | <1% | 8,631 | $77K | |
| 92579 | <1% | 994 | $40K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,344 | $39K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 163 | $29K |
| 30901 | <1% | 86 | $16K | |
| 30465 | <1% | 14 | $12K | |
| 30802 | <1% | 84 | $9K | |
| 69200 | <1% | 123 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 37 | $6K |
| 61782 | <1% | 47 | $5K | |
| 92588 | <1% | 129 | $4K | |
| 42821 | <1% | 16 | $3K | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 88 | $3K |
| 92582 | <1% | 43 | $2K | |
| 31276 | <1% | 14 | $2K | |
| 92550 | <1% | 137 | $2K | |
| 99243 | <1% | 12 | $1K | |
| 31287 | <1% | 13 | $1K | |
| 92555 | <1% | 36 | $754.23 | |
| 31256 | <1% | 12 | $745.78 | |
| 92558 | <1% | 41 | $382.23 | |
| 92552 | <1% | 13 | $343.15 | |
| 95115 | <1% | 30 | $179.76 |
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 officialTAFFET, JEFFREY (OWNER)