This provider's $6.0M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 166% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $2.3K | $350.71 | 6.49x | $1.9K | $291.3K | 1.6K | 1.4K |
| 2015 | $1.6K | $355.25 | 4.63x | $1.3K | $392.9K | 1.7K | 1.5K |
| 2016 | $1.7K | $365.17 | 4.61x | $1.3K | $492.8K | 1.6K | 1.5K |
| 2017 | $1.8K | $346.29 | 5.28x | $1.5K | $610.9K | 1.9K | 1.8K |
| 2018 | $1.4K | $390.20 | 3.56x | $999.01 | $688.2K | 2.3K | 2.0K |
| 2019 | $1.6K | $435.98 | 3.59x | $1.1K | $673.0K | 2.0K | 1.7K |
| 2020 | $1.7K | $512.06 | 3.41x | $1.2K | $671.9K | 1.9K | 1.6K |
| 2021 | $1.8K | $497.42 | 3.54x | $1.3K | $718.8K | 2.2K | 1.9K |
| 2022 | $1.7K | $451.08 | 3.67x | $1.2K | $707.8K | 2.3K | 2.0K |
| 2023 | $1.7K | $422.41 | 4.05x | $1.3K | $775.2K | 2.9K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 31298 | Dilation of nasal sinus using an endoscope | 384 | $1.9M | $4.9K | 2.20x |
| 31295 | Dilation of nasal sinus using an endoscope | 575 | $1.0M | $1.8K | 4.65x |
| 31296 | Dilation of nasal sinus using an endoscope | 194 | $535.2K | $2.8K | 3.13x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 2.7K | $476.7K | $177.29 | 2.98x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.4K | $330.5K | $97.45 | 2.61x |
| 31297 | Dilation of nasal sinus using an endoscope | 190 | $263.9K | $1.4K | 5.80x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $222.1K | $132.05 | 2.36x |
| 70486 | CT scan of face | 1.8K | $220.9K | $124.21 | 5.13x |
| 31233 | Examination of nasal passage and sinus using an endoscope | 523 | $174.8K | $334.22 | 2.18x |
| 31579 | Examination to assess movement of vocal cord flaps using an endoscope | 837 | $145.0K | $173.21 | 2.77x |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 428 | $141.7K | $331.11 | 2.39x |
| 30140 | Removal of nasal air passage | 521 | $115.3K | $221.25 | 9.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $112.8K | $64.54 | 3.06x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 1.0K | $63.8K | $63.78 | 3.50x |
| 31254 | Partial removal of nasal sinus using an endoscope | 204 | $59.9K | $293.64 | 16.69x |
| 70250 | X-ray of skull, less than 4 views | 1.8K | $56.8K | $31.81 | 3.11x |
| 61782 | Computer-assisted procedure outside the brain | 270 | $39.6K | $146.82 | 6.81x |
| 30117 | Removal or destruction of growth in nose | 48 | $24.8K | $516.79 | 7.35x |
| 69210 | Removal of impact ear wax, one ear | 543 | $16.8K | $30.90 | 3.14x |
| 64716 | Release and/or relocation of cranial nerve | 62 | $14.7K | $236.43 | 24.53x |
This provider submits charges 3.52 times higher than what Medicare actually pays.
A markup ratio of 3.52x means for every $100 Medicare pays, this provider initially charges $352. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data