Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Evergreen Ear, Nose & Throat Surgery P.C.

Evergreen Ear, Nose & Throat Surgery P.C. was paid $113K by Medicaid between Jun 2020 and Oct 2021, across 5 billing codes. Its largest line is 31231, — 58% of everything it billed.

33Billing provider infoEVERGREEN EAR, NOSE & THROAT SURGERY P.C.
LONG BEACH, NY 11561
33aNPI1982622817assigned 07/18/2006
33bProvider typeOtolaryngology Physician
28Total paid$113K
24GClaims818
24DCodes billed5
24AFirst – last monthJun 2020 – Oct 2021
Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#72 of 302
Median peer was paid$10K
This provider vs. median11×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2020321$45K
2021497$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31231 58% 299 299 $65K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25% 234 234 $28K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 169 159 $15K
92511 4.3% 50 50 $5K
92504 <1% 66 66 $7.22

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 officialSHAH, SHEFALI (PRESIDENT)