MATTHEW PROVENZANO, M.D.
Pediatric Otolaryngology Physician · MICHIGAN CITY, IN
Individual Active NPI 1639388911
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 393 | 780 | $216,082 | $90,861 | $65,616 |
| 2023 | 401 | 759 | $206,638 | $88,526 | $62,604 |
| 2022 | 488 | 988 | $251,046 | $110,449 | $78,494 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 131 | $155 | $105 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 113 | $84 | $60 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 112 | $117 | $85 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 88 | $103 | $69 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 77 | $118 | $88 |
| 69210 | Removal of impacted ear wax | 54 | $43 | $31 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 44 | $52 | $40 |
| 92504 | Exam of ear using a microscope | 30 | $27 | $21 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 28 | $170 | $123 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 24 | $65 | $50 |
| 69420 | Incision, aspiration, and/or inflation of eardrum | 19 | $193 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | ✓ | 01072216A | IN |
| Otolaryngology Physician | 207Y00000X | 01072216A | IN | |
| Otolaryngology Physician | 207Y00000X | 36490 | IA | |
| Pediatric Otolaryngology Physician | 207YP0228X | 57.019215 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pediatric Otolaryngology Physician providers in Indiana →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.