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Methodology•Download Data
  1. Home
  2. Providers
  3. Kenneth Scioscia
⚕️
MDIndividual

Kenneth Scioscia, MD

NPI: 1023022712
New Hyde Park, NY
10 years of data
Otolaryngology
$5.1M
Total Payments
53.2K
Beneficiaries
74.3K
Services
3.96x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.1M
Specialty median$80.5K

📋 Key Findings

1Billed $5.1M over 10 years
23.96x markup ratio (above median)
399th percentile in Otolaryngology by payments
420 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$295.50$77.683.80x$217.82$365.4K5.9K4.4K
2015$313.29$79.183.96x$234.11$392.1K6.1K4.6K
2016$310.94$77.504.01x$233.44$309.3K4.7K3.4K
2017$311.67$77.774.01x$233.90$373.0K5.7K4.0K
2018$265.71$67.093.96x$198.62$388.6K6.0K4.4K
2019$300.35$77.343.88x$223.01$441.1K6.4K4.9K
2020$289.31$71.574.04x$217.74$481.4K7.4K5.4K
2021$291.22$82.033.55x$209.19$667.9K8.7K6.2K
2022$373.56$95.403.92x$278.16$799.5K11.0K7.6K
2023$465.91$94.944.91x$370.97$896.0K12.5K8.3K

Top Procedures (20)

31231Diagnostic examination of nasal passages using an endoscope⚠ 3.7x markup
$1.4M
7.3K services$185.64/svc3.71x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.4x markup
$986.0K
14.2K services$69.57/svc3.36x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.5x markup
$484.0K
4.3K services$111.96/svc3.46x markup
92557Air and bone conduction assessment of hearing loss and speech recognition⚠ 5.6x markup
$318.6K
9.5K services$33.63/svc5.62x markup
31575Diagnostic examination of voice box using flexible endoscope⚠ 4.1x markup
$276.5K
2.5K services$110.34/svc4.06x markup
31579Examination to assess movement of vocal cord flaps using an endoscope⚠ 4.5x markup
$251.2K
1.4K services$183.64/svc4.48x markup
G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing⚠ 4.6x markup
$247.7K
6.2K services$39.67/svc4.60x markup
69210Removal of impact ear wax, one ear⚠ 5.0x markup
$243.1K
6.6K services$37.03/svc5.04x markup
99203New patient office or other outpatient visit, typically 30 minutes⚠ 3.6x markup
$239.5K
2.5K services$94.64/svc3.57x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 3.7x markup
$140.0K
932 services$150.25/svc3.67x markup
92567Eardrum testing using ear probe⚠ 4.5x markup
$121.5K
8.5K services$14.26/svc4.52x markup
99212Established patient office or other outpatient visit, typically 10 minutes⚠ 3.7x markup
$104.3K
2.8K services$37.69/svc3.70x markup
92504Diagnostic examination of ear and nose⚠ 4.1x markup
$96.8K
3.5K services$27.29/svc4.06x markup
92653Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report⚠ 6.3x markup
$40.5K
520 services$77.90/svc6.29x markup
69145Removal of soft tissue growth of ear canal⚠ 4.1x markup
$23.9K
57 services$418.93/svc4.06x markup
92511Examination of the nose and throat using an endoscope⚠ 4.9x markup
$22.3K
178 services$125.03/svc4.87x markup
95992Repositioning maneuvers for treatment of vertigo, per day⚠ 3.9x markup
$18.1K
460 services$39.41/svc3.93x markup
31237Biopsy or removal of nasal polyp or tissue using an endoscope⚠ 4.1x markup
$16.4K
67 services$244.65/svc4.13x markup
69433Incision of eardrum with insertion of eardrum tube under local or topical anesthesia⚠ 4.5x markup
$16.4K
91 services$179.72/svc4.50x markup
92550Assessment of eardrum and muscle function⚠ 4.0x markup
$16.2K
869 services$18.59/svc4.03x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
31231Diagnostic examination of nasal passages using an endoscope7.3K$1.4M$185.643.71x
99213Established patient office or other outpatient visit, typically 15 minutes14.2K$986.0K$69.573.36x
99214Established patient office or other outpatient, visit typically 25 minutes4.3K$484.0K$111.963.46x
92557Air and bone conduction assessment of hearing loss and speech recognition9.5K$318.6K$33.635.62x
31575Diagnostic examination of voice box using flexible endoscope2.5K$276.5K$110.344.06x
31579Examination to assess movement of vocal cord flaps using an endoscope1.4K$251.2K$183.644.48x
G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing6.2K$247.7K$39.674.60x
69210Removal of impact ear wax, one ear6.6K$243.1K$37.035.04x
99203New patient office or other outpatient visit, typically 30 minutes2.5K$239.5K$94.643.57x
99204New patient office or other outpatient visit, typically 45 minutes932$140.0K$150.253.67x
92567Eardrum testing using ear probe8.5K$121.5K$14.264.52x
99212Established patient office or other outpatient visit, typically 10 minutes2.8K$104.3K$37.693.70x
92504Diagnostic examination of ear and nose3.5K$96.8K$27.294.06x
92653Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report520$40.5K$77.906.29x
69145Removal of soft tissue growth of ear canal57$23.9K$418.934.06x
92511Examination of the nose and throat using an endoscope178$22.3K$125.034.87x
95992Repositioning maneuvers for treatment of vertigo, per day460$18.1K$39.413.93x
31237Biopsy or removal of nasal polyp or tissue using an endoscope67$16.4K$244.654.13x
69433Incision of eardrum with insertion of eardrum tube under local or topical anesthesia91$16.4K$179.724.50x
92550Assessment of eardrum and muscle function869$16.2K$18.594.03x

Markup Analysis

Charge-to-Payment Ratio

3.96x

This provider submits charges 3.96 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.96x means for every $100 Medicare pays, this provider initially charges $396. This is higher than the national average.

Location

New Hyde Park, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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