This provider's $9.0M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Their average markup ratio of 5.07x is significantly above the specialty median of 3.3x.
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 | $1.8K | $342.35 | 5.36x | $1.5K | $666.8K | 1.8K | 1.6K |
| 2015 | $2.0K | $361.70 | 5.53x | $1.6K | $639.5K | 1.5K | 1.3K |
| 2016 | $1.9K | $350.04 | 5.43x | $1.6K | $774.0K | 1.6K | 1.4K |
| 2017 | $2.2K | $372.11 | 5.98x | $1.9K | $771.1K | 1.9K | 1.6K |
| 2018 | $2.3K | $458.90 | 5.04x | $1.9K | $1.0M | 2.1K | 1.7K |
| 2019 | $2.6K | $521.93 | 5.01x | $2.1K | $1.1M | 2.2K | 1.6K |
| 2020 | $2.8K | $614.58 | 4.53x | $2.2K | $1.0M | 1.8K | 1.5K |
| 2021 | $2.6K | $570.36 | 4.51x | $2.0K | $999.6K | 1.8K | 1.5K |
| 2022 | $2.8K | $560.87 | 4.96x | $2.2K | $1.1M | 1.9K | 1.6K |
| 2023 | $2.4K | $516.29 | 4.70x | $1.9K | $954.2K | 2.3K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 31298 | Dilation of nasal sinus using an endoscope | 846 | $3.6M | $4.3K | 5.27x |
| 31295 | Dilation of nasal sinus using an endoscope | 1.3K | $2.1M | $1.5K | 4.62x |
| 31296 | Dilation of nasal sinus using an endoscope | 498 | $1.2M | $2.5K | 4.52x |
| 31297 | Dilation of nasal sinus using an endoscope | 474 | $603.7K | $1.3K | 8.86x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.5K | $369.8K | $83.02 | 2.58x |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 1.3K | $265.3K | $201.58 | 3.79x |
| 30802 | Destruction of soft tissue in nasal passages | 1.1K | $132.2K | $116.36 | 7.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 986 | $112.4K | $114.03 | 2.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $110.0K | $54.97 | 3.06x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $104.6K | $74.53 | 2.77x |
| 31579 | Examination to assess movement of vocal cord flaps using an endoscope | 374 | $56.4K | $150.76 | 2.49x |
| 70486 | CT scan of face | 460 | $54.3K | $117.94 | 9.33x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 505 | $53.1K | $105.16 | 2.52x |
| 30930 | Therapeutic fracture of nasal passages | 938 | $49.0K | $52.25 | 14.94x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 262 | $39.4K | $150.46 | 2.10x |
| 69210 | Removal of impact ear wax, one ear | 641 | $22.4K | $34.95 | 2.98x |
| 70480 | CT scan of cranial cavity | 130 | $17.9K | $137.76 | 8.14x |
| 69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | 81 | $13.3K | $164.64 | 3.38x |
| 30117 | Removal or destruction of growth of nose through nose | 26 | $12.4K | $475.19 | 3.76x |
| 92504 | Diagnostic examination of ear and nose | 439 | $9.6K | $21.93 | 2.84x |
This provider submits charges 5.07 times higher than what Medicare actually pays.
A markup ratio of 5.07x means for every $100 Medicare pays, this provider initially charges $507. 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