This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $581.03 | $149.86 | 3.88x | $431.17 | $727.5K | 9.3K | 6.4K |
| 2015 | $280.68 | $92.80 | 3.02x | $187.88 | $766.2K | 9.8K | 6.5K |
| 2016 | $367.55 | $96.02 | 3.83x | $271.53 | $762.7K | 10.0K | 6.8K |
| 2017 | $1.3K | $281.97 | 4.70x | $1.0K | $797.7K | 9.3K | 6.4K |
| 2018 | $1.4K | $322.39 | 4.36x | $1.1K | $970.0K | 10.0K | 7.0K |
| 2019 | $1.3K | $332.26 | 4.02x | $1.0K | $874.4K | 9.8K | 6.6K |
| 2020 | $406.39 | $141.04 | 2.88x | $265.35 | $748.2K | 8.5K | 5.5K |
| 2021 | $382.71 | $131.85 | 2.90x | $250.86 | $776.0K | 8.4K | 5.6K |
| 2022 | $440.84 | $150.83 | 2.92x | $290.01 | $730.7K | 8.4K | 5.7K |
| 2023 | $392.71 | $139.49 | 2.82x | $253.22 | $759.4K | 8.9K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 31231 | Diagnostic examination of nasal passages using an endoscope | 15.6K | $2.5M | $161.73 | 2.52x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.5K | $1.9M | $86.32 | 2.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.9K | $921.4K | $57.80 | 2.98x |
| 69210 | Removal of impact ear wax, one ear | 16.4K | $543.6K | $33.13 | 3.47x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 4.0K | $475.1K | $119.36 | 2.68x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.6K | $349.4K | $75.93 | 2.86x |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 995 | $236.3K | $237.49 | 3.19x |
| 31298 | Dilation of nasal sinus using an endoscope | 40 | $183.2K | $4.6K | 3.89x |
| 92557 | Air and bone conduction assessment of hearing loss and speech recognition | 3.2K | $93.0K | $28.70 | 3.93x |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 2.4K | $92.1K | $38.07 | 3.35x |
| 31295 | Dilation of nasal sinus using an endoscope | 58 | $70.6K | $1.2K | 6.03x |
| 30117 | Removal or destruction of growth in nose | 121 | $68.6K | $566.54 | 3.04x |
| 92550 | Assessment of eardrum and muscle function | 4.0K | $67.2K | $16.65 | 4.91x |
| 69420 | Incision, aspiration, and/or inflation of eardrum | 286 | $45.7K | $159.76 | 2.74x |
| 69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | 256 | $44.6K | $174.33 | 2.59x |
| 31238 | Control of nasal bleeding using an endoscope | 199 | $41.9K | $210.69 | 2.79x |
| 70486 | CT scan of face | 341 | $36.8K | $107.79 | 3.03x |
| 31296 | Dilation of nasal sinus using an endoscope | 16 | $36.3K | $2.3K | 3.91x |
| 69801 | Incision of fluid canals of inner ear with infusion of drugs, transcanal approach | 191 | $33.0K | $172.66 | 6.49x |
| 69200 | Removal of foreign body from ear canal | 394 | $26.7K | $67.87 | 3.73x |
This provider submits charges 2.91 times higher than what Medicare actually pays.
A markup ratio of 2.91x means for every $100 Medicare pays, this provider initially charges $291. 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