This provider averages 62 services per working day
Based on 153.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
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 | $554.81 | $158.97 | 3.49x | $395.84 | $658.5K | 18.8K | 7.9K |
| 2015 | $565.21 | $184.87 | 3.06x | $380.34 | $744.4K | 19.8K | 8.0K |
| 2016 | $582.57 | $136.27 | 4.28x | $446.30 | $692.8K | 20.2K | 7.8K |
| 2017 | $282.08 | $87.63 | 3.22x | $194.45 | $542.6K | 16.8K | 6.5K |
| 2018 | $161.48 | $68.61 | 2.35x | $92.87 | $415.7K | 14.7K | 5.3K |
| 2019 | $182.94 | $71.21 | 2.57x | $111.73 | $450.2K | 14.9K | 5.2K |
| 2020 | $171.06 | $70.31 | 2.43x | $100.75 | $515.9K | 12.6K | 4.6K |
| 2021 | $194.37 | $90.40 | 2.15x | $103.97 | $653.9K | 12.4K | 4.4K |
| 2022 | $173.03 | $72.63 | 2.38x | $100.40 | $562.0K | 11.6K | 4.1K |
| 2023 | $164.21 | $70.31 | 2.34x | $93.90 | $610.5K | 12.0K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 4.6K | $1.3M | $278.24 | 2.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.2K | $868.9K | $50.61 | 1.73x |
| 95810 | Sleep monitoring of patient (6 years or older) in sleep lab | 3.2K | $798.7K | $247.06 | 2.42x |
| 95117 | Injection of incremental dosages of allergen, 2 or more injections | 67.0K | $449.8K | $6.71 | 2.98x |
| 31295 | Dilation of nasal sinus using an endoscope | 194 | $264.1K | $1.4K | 3.06x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.2K | $216.8K | $68.38 | 1.87x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.8K | $193.0K | $107.56 | 1.74x |
| 94660 | Initiation and management of continued pressured respiratory assistance by mask or breathing tube | 3.8K | $146.3K | $38.51 | 4.10x |
| 69210 | Removal of impact ear wax, one ear | 4.0K | $123.2K | $30.50 | 2.47x |
| 31296 | Dilation of nasal sinus using an endoscope | 68 | $117.3K | $1.7K | 4.42x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 1.3K | $104.6K | $77.97 | 2.89x |
| 95165 | Preparation and provision of single or multiple antigens for allergen immunotherapy | 9.6K | $87.5K | $9.11 | 1.58x |
| 69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | 530 | $83.6K | $157.77 | 1.93x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 985 | $80.9K | $82.17 | 1.77x |
| 92553 | Pure tone air and bone conduction hearing assessment | 3.1K | $75.2K | $24.58 | 2.05x |
| 41530 | Destruction of tongue tissue, per session | 64 | $69.1K | $1.1K | 3.45x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 422 | $57.3K | $135.86 | 2.14x |
| 31297 | Dilation of nasal sinus using an endoscope | 51 | $55.8K | $1.1K | 5.88x |
| 95115 | Injection of incremental dosages of allergen | 10.2K | $55.5K | $5.44 | 2.76x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 732 | $53.7K | $73.40 | 3.26x |
This provider submits charges 2.51 times higher than what Medicare actually pays.
A markup ratio of 2.51x means for every $100 Medicare pays, this provider initially charges $251. 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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