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

Ear Nose and Throat Associates PC

Ear Nose and Throat Associates PC was paid $1.91M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 27% of everything it billed.

33Billing provider infoEAR NOSE AND THROAT ASSOCIATES PC
JOHNSON CITY, TN 37604
33aNPI1992734644assigned 07/02/2006
33bProvider typeOtolaryngology Physician
28Total paid$1.91M
24GClaims59,425
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in Tennessee

Rank by total paid#2 of 28
Median peer was paid$44K
This provider vs. median44×

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$20K$40K$60K2018201920202021202220232024
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
20188,601$250K
20199,161$272K
20207,499$200K
20218,555$256K
20228,019$262K
20239,695$370K
2024incomplete7,895$299K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 27% 6,490 5,941 $525K
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 18% 7,723 6,817 $350K
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% 8,123 7,192 $220K
92567 11% 18,974 17,187 $206K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.0% 5,966 5,618 $133K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.3% 2,032 1,824 $101K
92557 4.9% 4,809 4,233 $93K
92587 4.5% 3,020 2,835 $86K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 4.2% 511 489 $80K
42820 Tonsillectomy and adenoidectomy; younger than age 12 4.1% 375 362 $78K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 413 372 $14K
92579 <1% 393 379 $8K
6 more codes
69210 <1% 211 $5K
31575 <1% 85 $4K
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing <1% 110 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 24 $2K
95117 <1% 136 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 30 $1K

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 officialZAJONC, TIMOTHY (PARTNER/PRESIDENT)