Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Mississippi for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Mississippi only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Mississippi (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ear Nose & Throat Consultants Of North Mississippi PLLC (NPI 1265646368)

Field	Value
Entity Type	Organization
Organization	Ear Nose & Throat Consultants Of North Mississippi PLLC
Address	497 Azalea Dr Ste 101
City	Oxford
State	MS
ZIP	38655
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 9, 2007

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	15,780	$50	$741.8K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,910	$170	$323.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	3,410	$80	$255.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	1,710	$130	$222.8K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	260	$200	$51.8K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	2,070	$20	$45.5K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	490	$80	$37.3K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	3,510	$10	$31.6K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	120	$240	$28.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	160	$70	$10.3K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Ear Nose & Throat Consultants Of North Mississippi PLLC — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	12	30	70	$1,790	$891.2K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	6	10	440	$1,090	$571.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	5	50	300	$510	$483.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	148	1,910	930	$60	$278.7K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	15	20	400	$160	$231.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,197	1,670	720	$50	$196.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	7	30	260	$110	$191.3K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	19	20	290	$170	$176.6K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	12	30	390	$70	$128.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	100	190	120	$20	$56.6K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ear Nose & Throat Consultants Of North Mississippi PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byron Windham	MS	Otolaryngology Physician	$177.5K	$0
Bradford Dye	MS	Audiologist	$139.3K	$3.6K
Sabrina Davidson	MS	Family Nurse Practitioner	$59.7K	$0
John Laurenzo	MS	Audiologist	$50.7K	$4.4K
Scott Harrison	MS	Otolaryngology Physician	$49.1K	$0
Lorrain Brown	MS	Audiologist	$22.6K	$0
Haley Messersmith	MS	Audiologist	$12.2K	$0

Nearby Providers

Other providers in the same ZIP code as Ear Nose & Throat Consultants Of North Mississippi PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital North Mississippi, Inc	MS	General Acute Care Hospital	$0	$38.9M
North Mississippi Commission On Mental Illness/mental Retardation	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.1M
North Mississippi Commission On Mental Illness/mental Retardation	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.3M
North Ms Regional Center	MS	Community/Behavioral Health Agency	$0	$9.4M
Oxford Dental Specialists	MS	Pediatric Dentistry	$0	$8.9M
Gathright-reed Medical Supply LLC	MS	Community/Retail Pharmacy	$0	$7.3M
Baptist And Physicians Outpatient Surgery Center Of North Ms, LP	MS	Ambulatory Surgical Clinic/Center	$2.4M	$2.4M
Go Orthodontics Partnership	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.1M
Oxford Eye Surgery Center,l.p	MS	Ophthalmologic Surgery Clinic/Center	$2.5M	$851.8K
North Ms Outpatient Therapy	MS	Physical Therapist	$0	$3.2M

Ear Nose & Throat Consultants Of North Mississippi PLLC — Billing Profile & Reimbursement Data

Sign up for Ear Nose & Throat Consultants Of North Mississippi PLLC — Billing Profile & Reimbursement Data policy alerts

Ear Nose & Throat Consultants Of North Mississippi PLLC — Billing Profile & Reimbursement Data

Sign up for Ear Nose & Throat Consultants Of North Mississippi PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References