Valley Facial Plastics & Ent, PA

Valley Facial Plastics & Ent, PA was paid $379K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 57% of everything it billed.

33Billing provider infoVALLEY FACIAL PLASTICS & ENT, PA
LEWISTON, ID 83501

33aNPI1952441024assigned 02/07/2007

33bProvider typeOtolaryngology Physician

28Total paid$379K

24GClaims4,524

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in Idaho

Rank by total paid#3 of 10

Median peer was paid$118K

This provider vs. median3.2×

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	350	$19K
2019	404	$23K
2020	529	$34K
2021	849	$71K
2022	1,037	$100K
2023	783	$78K
2024incomplete	572	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	57%	2,003	1,981	$215K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17%	978	962	$65K
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	15%	753	724	$55K
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%	714	689	$41K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	13	13	$2K
69210		<1%	37	37	$812.65
92567		<1%	26	25	$207.89

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 officialBURRY, JEFF (PRESIDENT)