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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Tuscaloosa Ear Nose & Throat Center PC (NPI 1407914245)

Tuscaloosa Ear Nose & Throat Center PC is a otolaryngology physician provider located in Tuscaloosa, Alabama. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Tuscaloosa Ear Nose & Throat Center PC
Address	1300 Mcfarland Blvd Ne
City	Tuscaloosa
State	AL
ZIP	35406
Taxonomy	Otolaryngology Physician
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	6,500	$60	$377.2K
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…	2,200	$110	$233.4K
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…	4,820	$40	$168.5K
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.	10,130	$10	$121.5K
99204	The provider sees a new 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 provider…	800	$110	$86K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	9,070	$10	$81.6K
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.	460	$60	$25.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	370	$60	$20.2K
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…	270	$70	$19.4K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	50	$200	$8.8K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Tuscaloosa Ear Nose & Throat Center PC — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	241	1,990	680	$60	$201.7K
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…	13	120	170	$160	$200.7K
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…	360	1,990	560	$40	$185.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	30	60	320	$130	$176.1K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	20	40	40	$380	$123.8K
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.	13	30	350	$100	$91.2K
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…	33	90	160	$100	$75.1K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	7	30	2,540	$10	$46.8K
99204	The provider sees a new 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 provider…	58	630	60	$80	$45.8K
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…	428	660	80	$50	$26.8K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$6.4M
Capstone Kids LLC	AL	Pediatric Dentistry	$0	$3.5M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$2.8M
Southern Surgical Associates LLC	AL	Surgery Physician	$0	$2M
Tuscaloosa Pediatrics	AL	Pediatrics Physician	$0	$1.5M
First Kids	AL	Family Medicine Physician	$0	$1.4M
Bruce A Petitt M.d. P.C.	AL	Pediatrics Physician	$0	$938.2K
Tuscaloosa Nephrology Associates PC	AL	Nephrology Physician	$0	$936.6K
George Hemstreet	AL	Interventional Cardiology Physician	$935.1K	$0
The Radiology Clinic LLC	AL	Diagnostic Radiology Physician	$0	$932.4K

Tuscaloosa Ear Nose & Throat Center PC — Billing Profile & Reimbursement Data

Sign up for Tuscaloosa Ear Nose & Throat Center PC — Billing Profile & Reimbursement Data policy alerts

Tuscaloosa Ear Nose & Throat Center PC — Billing Profile & Reimbursement Data

Sign up for Tuscaloosa Ear Nose & Throat Center PC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dustin Clary	AL	Physical Therapist	$164.5K	$0
Carlisle Stephenson	AL	Otolaryngology Physician	$104.8K	$0
David Rosenstiel	AL	Otolaryngology Physician	$91K	$0
Lee Loftin	AL	Otolaryngology Physician	$72.8K	$280
Gary Lake	AL	Otolaryngology Physician	$58.9K	$0
Katherine Gambrell	AL	Physical Therapist	$46.7K	$0