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NPI 1760577902 · Mattoon, IL · Otolaryngology Physician
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Sandra Ettema is a otolaryngology physician provider located in Mattoon, Illinois. This profile covers 6 Medicare and 5 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sandra Ettema |
| Address | 1005 Health Center Dr Ste 201 |
| City | Mattoon |
| State | IL |
| ZIP | 61938 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | October 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $56.1K |
| Medicare | $25.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 100 | $90 | $9.1K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 60 | $140 | $8.3K |
| 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… | 60 | $90 | $5.2K |
| 43195 | The provider passes a rigid endoscope through the mouth and into the esophagus; he inserts a balloon through the scope and expands it to less than 30 mm to widen a narrowed area in the esophagus. | 10 | $140 | $1.9K |
| 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… | 10 | $60 | $800 |
| 43192 | The provider inserts a rigid endoscope through the mouth and down into the esophagus. The provider performs one or more injections into the submucosa (the tissue below the mucous membrane). | 10 | $20 | $210 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 240 | $130 | $30.7K |
| 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. | 40 | $330 | $12.4K |
| 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… | 80 | $110 | $8.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 40 | $70 | $2.5K |
| 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. | 120 | $10 | $1.7K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
5 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… | 10,737 | 14,680 | 300 | $50 | $48.7K |
| 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. | 37 | 50 | 190 | $20 | $42.6K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 19 | 90 | 80 | $100 | $22.3K |
| 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. | 39 | 60 | 240 | $10 | $18.8K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 1,512 | 2,320 | 70 | $50 | $13.8K |
Other providers in the same ZIP code as Sandra Ettema, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Coles County Mental Health Association, Inc. | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $17.2M |
| Hoopeston Community Memorial Hospital | IL | Rural Health Clinic/Center | $0 | $7.5M |
| Mitchell-jerdan Funeral Home Ltd | IL | Land Ambulance | $449.5K | $3M |
| Sarah Bush Lincoln Health Center | IL | General Acute Care Hospital | $0 | $3.3M |
| Musaberk Goksel | IL | Medical Oncology Physician | $2.1M | $67.1K |
| Aziz Ahmed | IL | Diagnostic Radiology Physician | $611.2K | $1.1M |
| Joshua Garrett | IL | Diagnostic Radiology Physician | $275.4K | $976.9K |
| Matthew Jones | IL | Diagnostic Radiology Physician | $314.5K | $874.6K |
| Air Evac Ems, Inc. | IL | Air Ambulance | $879.9K | $189.7K |
| Nehemiah Tan | IL | Rheumatology Physician | $910.1K | $350 |
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