This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 498% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 138% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $366.75 | $109.40 | 3.35x | $257.35 | $110.9K | 1.5K | 1.3K |
| 2015 | $244.39 | $71.79 | 3.40x | $172.60 | $148.2K | 2.0K | 1.7K |
| 2016 | $246.85 | $66.68 | 3.70x | $180.17 | $116.8K | 1.7K | 1.4K |
| 2017 | $185.06 | $55.58 | 3.33x | $129.48 | $278.3K | 4.6K | 3.6K |
| 2018 | $328.35 | $108.05 | 3.04x | $220.30 | $327.7K | 5.1K | 3.8K |
| 2019 | $240.83 | $80.19 | 3.00x | $160.64 | $264.8K | 4.5K | 3.5K |
| 2020 | $302.80 | $102.72 | 2.95x | $200.08 | $257.0K | 4.0K | 3.2K |
| 2021 | $350.06 | $133.60 | 2.62x | $216.46 | $528.5K | 7.1K | 5.6K |
| 2022 | $307.73 | $117.08 | 2.63x | $190.65 | $603.8K | 8.4K | 6.5K |
| 2023 | $244.30 | $90.44 | 2.70x | $153.86 | $662.8K | 9.7K | 7.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.2K | $729.1K | $89.20 | 2.71x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.3K | $496.2K | $59.89 | 2.65x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.3K | $398.1K | $121.59 | 2.70x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 3.8K | $363.1K | $95.36 | 2.73x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 1.6K | $254.9K | $155.03 | 2.68x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.1K | $248.3K | $79.68 | 2.96x |
| 69210 | Removal of impact ear wax, one ear | 4.8K | $169.6K | $35.05 | 2.99x |
| 92557 | Air and bone conduction assessment of hearing loss and speech recognition | 3.7K | $103.6K | $28.24 | 3.45x |
| 64582 | Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode | 104 | $77.3K | $743.72 | 2.57x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 484 | $56.8K | $117.39 | 2.68x |
| 92567 | Eardrum testing using ear probe | 3.6K | $42.9K | $12.03 | 3.26x |
| 38724 | Removal of lymph nodes, muscle, and tissue of neck | 37 | $41.1K | $1.1K | 2.62x |
| 60500 | Removal or exploration of parathyroid glands | 39 | $33.0K | $847.22 | 2.42x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 272 | $23.1K | $84.77 | 3.73x |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 528 | $20.4K | $38.58 | 2.61x |
| 64568 | Implantation of cranial nerve neurostimulator electrodes and generator | 32 | $17.6K | $549.30 | 2.56x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 106 | $17.3K | $162.76 | 2.57x |
| 95117 | Injection of incremental dosages of allergen, 2 or more injections | 2.1K | $17.0K | $8.13 | 4.18x |
| 60220 | Removal of thyroid lobe on side of neck | 26 | $16.0K | $615.54 | 2.54x |
| 31535 | Biopsy of voice box using an endoscope | 112 | $15.8K | $141.12 | 7.14x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. 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