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Methodology•Download Data
  1. Home
  2. Providers
  3. Michael Jacobson
⚕️
MDIndividual

Michael Jacobson, M.D.

NPI: 1366442600
Williamsburg, VA
10 years of data
Otolaryngology
$6.1M
Total Payments
49.7K
Beneficiaries
126.4K
Services
2.79x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$6.1M
Specialty median$80.5K

📋 Key Findings

1Billed $6.1M over 10 years
22.79x markup ratio (above median)
399th percentile in Otolaryngology by payments
451 services/day — unusually high
57 procedures with >3x markup

This provider averages 51 services per working day

Based on 126.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $6.1M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.

Averaging 51 services per working day raises questions about billing patterns.

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$1.0K$268.943.87x$771.48$949.8K17.5K5.7K
2015$454.96$123.183.69x$331.78$770.1K16.6K5.2K
2016$696.84$244.212.85x$452.63$633.0K14.5K5.2K
2017$400.64$119.173.36x$281.47$614.6K12.7K5.2K
2018$362.69$102.623.53x$260.07$598.0K12.3K5.3K
2019$320.07$94.253.40x$225.82$617.5K12.5K5.5K
2020$376.74$126.022.99x$250.72$552.4K11.7K5.0K
2021$360.51$113.353.18x$247.16$557.7K10.5K4.6K
2022$356.34$114.383.12x$241.96$473.7K9.6K4.1K
2023$196.91$67.662.91x$129.25$363.5K8.5K3.8K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$1.4M
17.5K services$79.53/svc2.59x markup
31231Diagnostic examination of nasal passages using an endoscope
$1.3M
8.6K services$155.08/svc2.46x markup
31575Diagnostic examination of voice box using flexible endoscope
$638.8K
7.2K services$89.27/svc2.92x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$523.4K
9.5K services$54.90/svc2.72x markup
99204New patient office or other outpatient visit, typically 45 minutes
$474.0K
4.1K services$116.59/svc2.68x markup
95117Injection of incremental dosages of allergen, 2 or more injections⚠ 4.1x markup
$297.2K
39.0K services$7.61/svc4.06x markup
31237Biopsy or removal of nasal polyp or tissue using an endoscope
$284.9K
979 services$291.03/svc2.36x markup
31233Examination of nasal passage and sinus using an endoscope
$202.0K
680 services$297.08/svc2.58x markup
69210Removal of impact ear wax, one ear⚠ 3.4x markup
$123.3K
4.1K services$29.81/svc3.35x markup
95115Injection of incremental dosages of allergen⚠ 3.7x markup
$103.7K
16.4K services$6.34/svc3.73x markup
99203New patient office or other outpatient visit, typically 30 minutes
$100.3K
1.3K services$75.66/svc2.85x markup
95165Preparation and provision of single or multiple antigens for allergen immunotherapy
$88.7K
8.9K services$9.99/svc2.46x markup
31276Exploration of nasal sinus using an endoscope
$88.1K
189 services$465.92/svc2.43x markup
31296Dilation of nasal sinus using an endoscope
$73.7K
30 services$2.5K/svc2.95x markup
31238Control of nasal bleeding using an endoscope
$64.7K
315 services$205.55/svc2.64x markup
30520Reshaping of nasal cartilage⚠ 4.0x markup
$53.6K
172 services$311.38/svc4.05x markup
30140Removal of nasal air passage⚠ 5.3x markup
$44.8K
220 services$203.71/svc5.33x markup
11000Removal of inflamed or infected skin, up to 10% of body surface
$41.2K
1.1K services$39.23/svc2.87x markup
31295Dilation of nasal sinus using an endoscope⚠ 4.4x markup
$38.3K
31 services$1.2K/svc4.44x markup
31267Removal of nasal sinus tissue using an endoscope⚠ 4.8x markup
$18.8K
103 services$182.08/svc4.79x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes17.5K$1.4M$79.532.59x
31231Diagnostic examination of nasal passages using an endoscope8.6K$1.3M$155.082.46x
31575Diagnostic examination of voice box using flexible endoscope7.2K$638.8K$89.272.92x
99213Established patient office or other outpatient visit, typically 15 minutes9.5K$523.4K$54.902.72x
99204New patient office or other outpatient visit, typically 45 minutes4.1K$474.0K$116.592.68x
95117Injection of incremental dosages of allergen, 2 or more injections39.0K$297.2K$7.614.06x
31237Biopsy or removal of nasal polyp or tissue using an endoscope979$284.9K$291.032.36x
31233Examination of nasal passage and sinus using an endoscope680$202.0K$297.082.58x
69210Removal of impact ear wax, one ear4.1K$123.3K$29.813.35x
95115Injection of incremental dosages of allergen16.4K$103.7K$6.343.73x
99203New patient office or other outpatient visit, typically 30 minutes1.3K$100.3K$75.662.85x
95165Preparation and provision of single or multiple antigens for allergen immunotherapy8.9K$88.7K$9.992.46x
31276Exploration of nasal sinus using an endoscope189$88.1K$465.922.43x
31296Dilation of nasal sinus using an endoscope30$73.7K$2.5K2.95x
31238Control of nasal bleeding using an endoscope315$64.7K$205.552.64x
30520Reshaping of nasal cartilage172$53.6K$311.384.05x
30140Removal of nasal air passage220$44.8K$203.715.33x
11000Removal of inflamed or infected skin, up to 10% of body surface1.1K$41.2K$39.232.87x
31295Dilation of nasal sinus using an endoscope31$38.3K$1.2K4.44x
31267Removal of nasal sinus tissue using an endoscope103$18.8K$182.084.79x

Markup Analysis

Charge-to-Payment Ratio

2.79x

This provider submits charges 2.79 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. This is higher than the national average.

Location

Williamsburg, VA

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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