This provider averages 93 services per working day
Based on 46.4K total services over 2 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Averaging 93 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 100% from 2022 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 100% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $424.33 | $106.16 | 4.00x | $318.17 | $1.6M | 15.3K | 24 |
| 2023 | $425.02 | $104.33 | 4.07x | $320.69 | $3.2M | 31.1K | 29 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 11.2K | $2.2M | $195.85 | 4.10x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 11.8K | $1.5M | $131.03 | 4.06x |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 10.7K | $318.2K | $29.61 | 4.24x |
| 77427 | Radiation treatment management, 5 treatment sessions | 2.0K | $289.1K | $142.36 | 3.94x |
| 77336 | Continuing radiation therapy consultation per week | 1.3K | $76.2K | $60.59 | 4.08x |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | 131 | $72.3K | $551.63 | 3.15x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 509 | $47.2K | $92.81 | 2.65x |
| 77300 | Calculation of radiation therapy dose | 659 | $31.9K | $48.40 | 4.03x |
| 77285 | Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas | 93 | $30.0K | $322.39 | 4.18x |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 220 | $29.3K | $133.21 | 4.88x |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 97 | $21.4K | $220.53 | 3.17x |
| 77261 | Simple radiation therapy planning | 421 | $21.3K | $50.62 | 4.15x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 316 | $20.0K | $63.42 | 2.59x |
| 77334 | Design and construction of complex radiation treatment device | 216 | $19.9K | $92.10 | 3.96x |
| 14020 | Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less | 39 | $19.9K | $509.66 | 3.07x |
| 95024 | Test for allergy using allergenic extract injected into skin | 3.1K | $16.3K | $5.25 | 2.86x |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 29 | $16.2K | $558.96 | 3.80x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 134 | $15.9K | $118.60 | 3.31x |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 47 | $15.5K | $329.89 | 4.12x |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 112 | $10.6K | $94.62 | 3.62x |
This provider submits charges 4.05 times higher than what Medicare actually pays.
A markup ratio of 4.05x means for every $100 Medicare pays, this provider initially charges $405. 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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