This provider's $6.2M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 1446% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 317% in 2021
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 | $226.98 | $83.52 | 2.72x | $143.46 | $100.3K | 1.3K | 1.1K |
| 2015 | $177.88 | $80.15 | 2.22x | $97.73 | $119.8K | 1.6K | 1.2K |
| 2016 | $1.2K | $325.13 | 3.68x | $870.85 | $266.1K | 2.2K | 1.4K |
| 2017 | $1.1K | $291.19 | 3.71x | $788.08 | $244.0K | 2.6K | 1.7K |
| 2018 | $199.51 | $75.91 | 2.63x | $123.60 | $146.4K | 2.4K | 1.6K |
| 2019 | $1.0K | $328.77 | 3.09x | $687.52 | $293.4K | 2.6K | 1.9K |
| 2020 | $1.1K | $365.88 | 2.96x | $718.05 | $368.0K | 2.4K | 1.8K |
| 2021 | $1.8K | $464.94 | 3.80x | $1.3K | $1.5M | 3.9K | 3.1K |
| 2022 | $2.0K | $531.88 | 3.84x | $1.5K | $1.5M | 3.5K | 2.9K |
| 2023 | $2.3K | $612.48 | 3.80x | $1.7K | $1.6M | 3.3K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 31298 | Dilation of nasal sinus using an endoscope | 643 | $2.5M | $3.9K | 3.24x |
| 31295 | Dilation of nasal sinus using an endoscope | 706 | $1.2M | $1.8K | 3.69x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 3.2K | $478.7K | $149.23 | 3.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.9K | $332.4K | $56.66 | 3.74x |
| 30117 | Removal or destruction of growth in nose, internal approach | 592 | $226.2K | $382.17 | 4.80x |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 778 | $221.0K | $284.07 | 5.15x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.9K | $214.7K | $73.84 | 4.05x |
| 69706 | Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose | 62 | $125.2K | $2.0K | 2.98x |
| 70486 | CT scan of face | 1.1K | $106.8K | $96.02 | 5.49x |
| 30140 | Removal of nasal air passage | 600 | $104.1K | $173.56 | 9.71x |
| 69210 | Removal of impact ear wax, one ear | 2.9K | $94.8K | $32.17 | 3.76x |
| 31296 | Dilation of nasal sinus using an endoscope | 37 | $89.9K | $2.4K | 3.17x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 724 | $83.5K | $115.29 | 2.92x |
| 31238 | Control of nasal bleeding using an endoscope | 364 | $73.2K | $201.17 | 3.07x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 735 | $58.9K | $80.08 | 2.96x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 655 | $57.0K | $87.04 | 3.63x |
| 31297 | Dilation of nasal sinus using an endoscope | 38 | $47.4K | $1.2K | 5.50x |
| 69705 | Dilation of canal between middle ear and throat (eustachian tube) on one side of body, using endoscope inserted through nose | 17 | $34.0K | $2.0K | 3.00x |
| 30200 | Injection of drug into nasal air passages | 388 | $19.4K | $49.95 | 3.40x |
| 92557 | Air and bone conduction assessment of hearing loss and speech recognition | 501 | $14.1K | $28.06 | 2.67x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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