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.

Ent Associates Of Alabama, P.C. (NPI 1841301082)

Ent Associates Of Alabama, P.C. is a otolaryngology physician provider located in Birmingham, 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	Ent Associates Of Alabama, P.C.
Address	833 Saint Vincents Dr
City	Birmingham
State	AL
ZIP	35205
Taxonomy	Otolaryngology Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$945.6K
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…	6,270	$50	$294.7K
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…	4,350	$40	$165.4K
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…	1,250	$110	$136.5K
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…	2,080	$60	$120.5K
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.	6,540	$10	$85.1K
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…	1,030	$70	$74.2K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	170	$150	$25.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	250	$90	$22.8K
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…	240	$20	$4.9K
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…	30	$90	$3.1K

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

Ent Associates Of Alabama, P.C. — 2 of 17 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…	257	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…	84	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…	381	1,990	560	$40	$185.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	35	60	320	$130	$176.1K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	35	40	40	$380	$123.8K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	6	10	170	$40	$102K
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…	17	90	160	$100	$75.1K
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…	30	630	60	$80	$45.8K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	15	20	160	$70	$45.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	233	500	120	$60	$42.2K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paragon Contracting Services LLC	AL	Emergency Medicine Physician	$0	$54.5M
Oral & Facial Surgery Of Al, PC	AL	Specialist	$0	$6.4M
Pediatric Dental Associates Of Birmingham, LLC	AL	Pediatric Dentistry	$0	$6.1M
University Of Alabama At Birmingham	AL	Developmental Disabilities Clinic/Center	$0	$4.8M
Magnolia Pediatrics South Inc	AL	Pediatric Adolescent Medicine Physician	$0	$2.9M
Birmingham Pediatric Assoc	AL	Pediatrics Physician	$0	$2.5M
Alabama Ophthalmology Associates, P.C.	AL	Ophthalmology Physician	$0	$2.1M
St. Vincent's P.e.t. Center, LLC	AL	Diagnostic Radiology Physician	$1.6M	$0
St. Vincent's Birmingham	AL	General Acute Care Hospital	$0	$1.3M
Cara Bondly	AL	Hematology & Oncology Physician	$986.3K	$0

Ent Associates Of Alabama, P.C. — Billing Profile & Reimbursement Data

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Ent Associates Of Alabama, P.C. — Billing Profile & Reimbursement Data

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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
Christopher Clark	AL	Otolaryngology Physician	$165.5K	$0
Sheldon Black	AL	Otolaryngology Physician	$145.1K	$0
Emmett Elledge	AL	Otolaryngology Physician	$127.3K	$0
Horace Lejeune	AL	Otolaryngology Physician	$97.2K	$0
Charles Colvin	AL	Otolaryngology Physician	$93.6K	$0
Howard Goldberg	AL	Otolaryngology Physician	$92.6K	$0
Bruce Morgan	AL	Family Medicine Physician	$92.2K	$0
Stephen Favrot	AL	Otolaryngology Physician	$89.7K	$0
Lloyd Simpson	AL	Otolaryngology Physician	$84.2K	$0
Jack Aland	AL	Otolaryngology Physician	$73.4K	$0