This provider's $5.1M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 145% 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 | $295.50 | $77.68 | 3.80x | $217.82 | $365.4K | 5.9K | 4.4K |
| 2015 | $313.29 | $79.18 | 3.96x | $234.11 | $392.1K | 6.1K | 4.6K |
| 2016 | $310.94 | $77.50 | 4.01x | $233.44 | $309.3K | 4.7K | 3.4K |
| 2017 | $311.67 | $77.77 | 4.01x | $233.90 | $373.0K | 5.7K | 4.0K |
| 2018 | $265.71 | $67.09 | 3.96x | $198.62 | $388.6K | 6.0K | 4.4K |
| 2019 | $300.35 | $77.34 | 3.88x | $223.01 | $441.1K | 6.4K | 4.9K |
| 2020 | $289.31 | $71.57 | 4.04x | $217.74 | $481.4K | 7.4K | 5.4K |
| 2021 | $291.22 | $82.03 | 3.55x | $209.19 | $667.9K | 8.7K | 6.2K |
| 2022 | $373.56 | $95.40 | 3.92x | $278.16 | $799.5K | 11.0K | 7.6K |
| 2023 | $465.91 | $94.94 | 4.91x | $370.97 | $896.0K | 12.5K | 8.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 31231 | Diagnostic examination of nasal passages using an endoscope | 7.3K | $1.4M | $185.64 | 3.71x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.2K | $986.0K | $69.57 | 3.36x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.3K | $484.0K | $111.96 | 3.46x |
| 92557 | Air and bone conduction assessment of hearing loss and speech recognition | 9.5K | $318.6K | $33.63 | 5.62x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 2.5K | $276.5K | $110.34 | 4.06x |
| 31579 | Examination to assess movement of vocal cord flaps using an endoscope | 1.4K | $251.2K | $183.64 | 4.48x |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 6.2K | $247.7K | $39.67 | 4.60x |
| 69210 | Removal of impact ear wax, one ear | 6.6K | $243.1K | $37.03 | 5.04x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.5K | $239.5K | $94.64 | 3.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 932 | $140.0K | $150.25 | 3.67x |
| 92567 | Eardrum testing using ear probe | 8.5K | $121.5K | $14.26 | 4.52x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.8K | $104.3K | $37.69 | 3.70x |
| 92504 | Diagnostic examination of ear and nose | 3.5K | $96.8K | $27.29 | 4.06x |
| 92653 | Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report | 520 | $40.5K | $77.90 | 6.29x |
| 69145 | Removal of soft tissue growth of ear canal | 57 | $23.9K | $418.93 | 4.06x |
| 92511 | Examination of the nose and throat using an endoscope | 178 | $22.3K | $125.03 | 4.87x |
| 95992 | Repositioning maneuvers for treatment of vertigo, per day | 460 | $18.1K | $39.41 | 3.93x |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 67 | $16.4K | $244.65 | 4.13x |
| 69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | 91 | $16.4K | $179.72 | 4.50x |
| 92550 | Assessment of eardrum and muscle function | 869 | $16.2K | $18.59 | 4.03x |
This provider submits charges 3.96 times higher than what Medicare actually pays.
A markup ratio of 3.96x means for every $100 Medicare pays, this provider initially charges $396. This is higher than the national average.
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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.
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