SANDRA ETTEMA, M.D., PH.D.
Otolaryngology Physician · MATTOON, IL
Individual Active NPI 1760577902
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 162 | 628 | $365,475 | $66,576 | $50,534 |
| 2023 | 134 | 1,359 | $408,332 | $72,532 | $55,734 |
| 2022 | 119 | 999 | $294,535 | $56,573 | $43,992 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 121 | $138 | $102 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 118 | $64 | $49 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 53 | $174 | $131 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 51 | $30 | $24 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 28 | $92 | $71 |
| 43195 | Balloon dilation of esophagus using a rigid endoscope, less than 3.0 cm | 18 | $156 | $116 |
| 43192 | Injection into esophagus using an endoscope | 17 | $12 | $9 |
| 69210 | Removal of impacted ear wax | 13 | $28 | $22 |
| 31579 | Exam to assess movement of vocal cord flaps using an endoscope | 12 | $116 | $92 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | 036.118460 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Otolaryngology Physician providers in Illinois
- NPI 1629124243
- NPI 1780767681
- NPI 1003037169
- NPI 1063636041
- NPI 1215043971
- NPI 1437836566
- NPI 1740784925
- NPI 1528541927
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.