Carolina Pines Ear Nose Throat & Allergy Associates LLC

Carolina Pines Ear Nose Throat & Allergy Associates LLC was paid $37K by Medicaid between May 2021 and Oct 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 72% of everything it billed.

33Billing provider infoCAROLINA PINES EAR NOSE THROAT & ALLERGY ASSOCIATES LLC
NEWBERRY, SC 29108

33aNPI1992316764assigned 08/13/2020

33bProvider typeOtolaryngology Physician

28Total paid$37K

24GClaims524

24DCodes billed6

24AFirst – last monthMay 2021 – Oct 2024

Compared with peers

Next to other Otolaryngology Physician providers in South Carolina

Rank by total paid#13 of 43

Median peer was paid$5K

This provider vs. median7.4×

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
2021	26	$2K
2023	298	$19K
2024incomplete	200	$16K

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	72%	252	240	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	144	123	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.5%	40	37	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.5%	29	28	$922.54
92567		<1%	45	39	$355.55
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	14	13	$203.56

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 officialHARSHA, WAYNE (OWNER, OTOLARYNGOLOGIST)