$830.6M in total Medicare payments across 10 years
Procedure 31231 (Diagnostic exam of nasal passages using an endoscope) received $830.6M in total Medicare payments.
Across 5.6M services, the average Medicare payment was $148.05 per service.
There is significant variance in per-service payments among top providers, with a 6x spread between highest and lowest average payments.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $76.8M | 490.3K | — |
| 2015 | $80.1M | 507.8K | +4.3% |
| 2016 | $84.1M | 539.8K | +4.9% |
| 2017 | $85.7M | 564.6K | +1.9% |
| 2018 | $92.0M | 600.7K | +7.4% |
| 2019 | $93.8M | 634.4K | +2.0% |
| 2020 | $64.6M | 455.2K | -31.2% |
| 2021 | $80.4M | 544.9K | +24.4% |
| 2022 | $83.4M | 603.9K | +3.7% |
| 2023 | $89.7M | 668.6K | +7.6% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Harvey Paley | Otolaryngology | CA | $1.1M | 36.4K | $29.62 |
| 2 | Robert Miller | Otolaryngology | FL | $338.2K | 2.5K | $136.37 |
| 3 | Bernard Durante | Otolaryngology | MA | $304.3K | 2.0K | $153.47 |
| 4 | Michael Kim | Otolaryngology | CA | $293.1K | 1.7K | $176.87 |
| 5 | Anit Patel | Otolaryngology | MA | $279.1K | 1.8K | $154.22 |
| 6 | Todd Parnes | Otolaryngology | FL | $272.1K | 1.8K | $151.85 |
| 7 | Daniel Branovan | Otolaryngology | NY | $270.8K | 1.6K | $170.62 |
| 8 | Winston Vaughan | Otolaryngology | CA | $257.1K | 1.4K | $179.07 |
| 9 | Khrosrow Makki | Otolaryngology | DC | $244.3K | 1.4K | $174.78 |
| 10 | Matthew Nagorsky | Otolaryngology | PA | $236.6K | 1.5K | $159.03 |
| 11 | Kenneth Scioscia | Otolaryngology | NY | $226.9K | 1.3K | $169.62 |
| 12 | Thomas Magardino | Otolaryngology | FL | $225.6K | 1.5K | $150.03 |
| 13 | Boris Bentsianov | Otolaryngology | NY | $209.3K | 1.1K | $182.00 |
| 14 | Navin Mehta | Otolaryngology | NY | $203.1K | 1.2K | $175.38 |
| 15 | Michael Bibliowicz | Otolaryngology | FL | $189.5K | 1.5K | $128.85 |
| 16 | Robert Nunez | Otolaryngology | FL | $185.3K | 1.2K | $152.01 |
| 17 | Christopher Walz | Otolaryngology | CA | $182.6K | 1.2K | $156.90 |
| 18 | George Domb | Otolaryngology | CA | $172.4K | 1.1K | $152.88 |
| 19 | Dan Moskowitz | Otolaryngology | NY | $168.9K | 964 | $175.23 |
| 20 | Milo Bastianelli | Otolaryngology | FL | $168.9K | 1.1K | $151.73 |
| 21 | Deya Jourdy | Otolaryngology | NY | $165.1K | 947 | $174.31 |
| 22 | Seung Lee | Otolaryngology | HI | $164.5K | 1.0K | $159.08 |
| 23 | Christopher Shaari | Otolaryngology | NJ | $163.4K | 1.0K | $159.26 |
| 24 | Shefali Shah | Otolaryngology | NY | $156.4K | 915 | $170.95 |
| 25 | Donald Sesso | Otolaryngology | PA | $155.8K | 1.1K | $146.32 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| NY | $15.7M | 93.8K | 516 | $30.4K |
| FL | $12.8M | 91.5K | 523 | $24.5K |
| CA | $10.8M | 103.4K | 539 | $20.1K |
| NJ | $5.9M | 36.2K | 230 | $25.5K |
| PA | $4.8M | 36.3K | 317 | $15.0K |
| TX | $4.6M | 33.9K | 448 | $10.2K |
| IL | $3.0M | 22.6K | 241 | $12.5K |
| MA | $3.0M | 22.1K | 191 | $15.6K |
| MD | $2.6M | 17.1K | 128 | $20.6K |
| GA | $2.1M | 16.5K | 229 | $9.3K |
| AZ | $2.0M | 14.8K | 122 | $16.3K |
| SC | $1.7M | 13.7K | 138 | $12.3K |
| NC | $1.7M | 13.6K | 201 | $8.3K |
| VA | $1.7M | 12.5K | 170 | $9.8K |
| CO | $1.2M | 8.6K | 123 | $9.6K |
| OH | $1.2M | 11.2K | 182 | $6.5K |
| CT | $1.2M | 7.6K | 84 | $13.9K |
| WA | $979.6K | 7.4K | 126 | $7.8K |
| TN | $954.9K | 8.1K | 122 | $7.8K |
| MI | $920.9K | 7.7K | 160 | $5.8K |
| IN | $902.0K | 7.0K | 97 | $9.3K |
| KY | $707.8K | 5.5K | 76 | $9.3K |
| MO | $685.3K | 5.4K | 98 | $7.0K |
| AL | $684.0K | 6.0K | 82 | $8.3K |
| KS | $675.3K | 5.4K | 64 | $10.6K |
| LA | $671.9K | 5.6K | 89 | $7.5K |
| MN | $586.5K | 4.5K | 94 | $6.2K |
| OR | $534.8K | 4.4K | 73 | $7.3K |
| IA | $489.7K | 4.6K | 73 | $6.7K |
| OK | $451.1K | 3.6K | 57 | $7.9K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.