Pediatric Ear, Nose & Throat Associates, P.C.
Pediatric Ear, Nose & Throat Associates, P.C. was paid $1.56M by Medicaid between Jan 2018 and Feb 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoPEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
33aNPI1982987830assigned 09/27/2011
33bProvider typeSpecialist
28Total paid$1.56M
24GClaims33,885
24DCodes billed22
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#21 of 252
Median peer was paid$57K
This provider vs. median27×
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 | 7,044 | $305K | |
| 2019 | 7,004 | $330K | |
| 2020 | 5,347 | $193K | |
| 2021 | 4,145 | $199K | |
| 2022 | 4,818 | $262K | |
| 2023 | 4,919 | $250K | |
| 2024incomplete | 608 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 10,181 | 9,145 | $416K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 18% | 1,355 | 1,231 | $280K |
| 99243 | 16% | 3,088 | 2,787 | $257K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 15% | 1,611 | 1,451 | $239K |
| 92567 | 6.2% | 7,597 | 6,818 | $97K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 892 | 836 | $65K |
| 92579 | 2.8% | 1,712 | 1,531 | $44K | |
| 92555 | 2.1% | 2,600 | 2,291 | $33K | |
| 92582 | 2.0% | 999 | 876 | $31K | |
| 92504 | 1.7% | 1,150 | 1,023 | $26K | |
| 92587 | 1.4% | 731 | 642 | $22K | |
| 92552 | 1.1% | 1,030 | 926 | $17K |
10 more codes
| 92588 | <1% | 209 | $8K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 103 | $7K |
| 42830 | <1% | 72 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 57 | $5K |
| 92556 | <1% | 225 | $4K | |
| 41010 | <1% | 33 | $3K | |
| 92553 | <1% | 97 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 85 | $1K |
| 92583 | <1% | 39 | $1K | |
| 92557 | <1% | 19 | $682.68 |
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 officialGRAVES, JOE (PRESIDENT)