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    OpenPayerNPI Medicare & MedicaidCharleston Ent Associates, LLC
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    Charleston Ent Associates, LLC — Billing Profile & Reimbursement Data

    NPI 1124026422 · Charleston, SC · Ambulatory Surgical Clinic/Center

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    Charleston Ent Associates, LLC is a ambulatory surgical clinic/center provider located in Charleston, South Carolina. This profile covers 19 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCharleston Ent Associates, LLC
    Address1849 Savage Rd
    CityCharleston
    StateSC
    ZIP29407
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 11, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.8M
    Medicare$482K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31276In this procedure, the provider inserts an endoscope into the frontal sinus to explore it for abnormalities. The provider may also remove bone, scar tissue, polyps, or other tissue from the frontal…60$1,230$72.3K
    31267In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus…40$1,250$52.3K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).120$440$51.3K
    31257The provider performs a complete excision of the ethmoid air cells (anterior and posterior) and widens the opening of the sphenoid sinus cavity. The procedure is performed to treat chronic sinusitis.60$810$44.8K
    31256In this procedure, the provider inserts an endoscope into the nasal cavity. He then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus.70$540$36.4K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.60$590$36K
    60500In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…20$1,810$30.8K
    C9771Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral10$2,740$30.2K
    69706Surgical nasal endoscopy consists of the use of a medical device that has a thin rigid or a flexible tube to view the sinuses and nasal passages. In this procedure, the endoscopy provides an approach…10$2,710$29.8K
    31535The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of any abnormalities. He also surgically removes a sample of the abnormal or…20$1,060$17K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3125711060$810$44.8K
    C977111010$2,740$30.2K
    6050031030$870$27K
    6970611010$2,390$26.3K
    3127611020$920$23K
    3126731020$810$20.2K
    6943611050$310$14.4K
    3153511010$1,000$14K
    3125411010$930$13.1K
    3125611010$420$13K

    Showing 1–10 of 19

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.7,330$220$1.6M
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.1,860$430$806.2K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.940$360$343.6K
    42821The provider removes the tonsils and adenoids of a patient age 12 or older.30$400$10K
    31238In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.50$170$8.2K
    30802In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to perform ablation of the submucosal area of the inferior turbinates.70$100$7.2K
    69424The provider removes a ventilating tube from the ear with the patient under general anesthesia.30$160$5.3K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.10$310$3.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. South Carolina median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.150480$160$147.9K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.140140$220$87.4K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.12060$270$45.5K
    31238In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.11050$170$8.2K
    30802In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to perform ablation of the submucosal area of the inferior turbinates.11070$100$7.3K
    69424The provider removes a ventilating tube from the ear with the patient under general anesthesia.11030$160$5.4K
    42821The provider removes the tonsils and adenoids of a patient age 12 or older.11030$200$5K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.11010$300$3.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Charleston Ent Associates, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Ent Associates, LLCSCOtolaryngology Physician$0$7.1M
    David MaurerSCOtolaryngology Physician$485K$0
    James RussellAROtolaryngology Physician$326.6K$0
    Julien NortonSCOtolaryngology Physician$323.4K$2.3K
    Don ChristianSCOtolaryngology Physician$319.7K$800
    Leslie ScarlettSCOphthalmology Physician$274K$0
    Edward McnellisSCOtolaryngology Physician$209.7K$0
    Eugene BrownSCOtolaryngology Physician$199K$0
    Thomas HesterSCOtology & Neurotology Physician$188.3K$2.1K
    Mark GheganSCOtolaryngology Physician$189K$0

    Nearby Providers

    Other providers in the same ZIP code as Charleston Ent Associates, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dentistry For Children Of South Carolina, PCSCPediatric Dentistry$0$68.4M
    Medcare Express - North Charleston LLCSCUrgent Care Clinic/Center$0$34.8M
    Justiceworks Behavioral CareSCCommunity/Behavioral Health Agency$0$18.6M
    Carolina Health ForceSCNursing Care Agency$0$8.8M
    Plantation Pediatrics, LLCSCPediatrics Physician$0$8.2M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$5.8M
    Charleston Pediatric Rehabilitation LLCSCSpeech-Language Pathologist$0$3.8M
    Charleston Ot LLCSCOccupational Therapist$0$3.2M
    Active Sc One, Inc.SCAdult Day Care Clinic/Center$0$3.2M
    Personal Care, Inc.SCLand Ambulance$2.7M$234.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Charleston Ent Associates, LLC — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Charleston Ent Associates, LLC — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina