Physician
Lamorinda Ent Face & Neck Surgery INC
Lamorinda Ent Face & Neck Surgery INC was paid $184K by Medicaid between Jan 2018 and Oct 2019, across 6 billing codes. Its largest line is 31231, — 71% of everything it billed.
33Billing provider infoLAMORINDA ENT FACE & NECK SURGERY INC
LAFAYETTE, CA 94549
LAFAYETTE, CA 94549
33aNPI1992985923assigned 11/07/2007
33bProvider typeOtolaryngology Physician
28Total paid$184K
24GClaims1,093
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#58 of 168
Median peer was paid$67K
This provider vs. median2.7×
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 | 761 | $130K | |
| 2019 | 332 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 71% | 572 | 550 | $131K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 373 | 359 | $29K |
| 99205 | Prolong outpt/office vis | 7.9% | 64 | 64 | $15K |
| 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 | 3.7% | 57 | 54 | $7K |
| 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 | 1.3% | 13 | 13 | $2K |
| 92557 | <1% | 14 | 14 | $284.94 |
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 officialFALSAFI, SASSAN (OTOLARYNGOLOGIST)
Parent organizationLAMORINDA ENT FACE & NECK SURGERY INC