This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 744% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 403% in 2022
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 | $1.1K | $266.67 | 4.25x | $867.08 | $152.1K | 2.0K | 1.2K |
| 2015 | $1.3K | $316.44 | 4.19x | $1.0K | $190.6K | 1.6K | 902 |
| 2016 | $1.1K | $244.56 | 4.29x | $805.73 | $198.5K | 1.8K | 1.1K |
| 2017 | $1.2K | $272.45 | 4.44x | $936.19 | $149.2K | 1.6K | 949 |
| 2018 | $1.4K | $369.44 | 3.81x | $1.0K | $223.3K | 743 | 613 |
| 2019 | $1.5K | $464.33 | 3.33x | $1.1K | $521.6K | 1.2K | 1.1K |
| 2020 | $1.3K | $520.85 | 2.49x | $776.82 | $311.0K | 979 | 858 |
| 2021 | $1.7K | $607.96 | 2.73x | $1.1K | $228.2K | 826 | 700 |
| 2022 | $2.1K | $580.89 | 3.61x | $1.5K | $1.1M | 2.3K | 2.0K |
| 2023 | $2.8K | $761.66 | 3.66x | $2.0K | $1.3M | 2.0K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 31298 | Dilation of nasal sinus using an endoscope | 484 | $1.9M | $3.9K | 3.03x |
| 31295 | Dilation of nasal sinus using an endoscope | 573 | $878.3K | $1.5K | 4.23x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.4K | $251.5K | $74.75 | 2.86x |
| 31296 | Dilation of nasal sinus using an endoscope | 99 | $227.6K | $2.3K | 3.44x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 1.1K | $162.8K | $141.92 | 5.08x |
| 30117 | Removal or destruction of growth in nose | 384 | $160.4K | $417.79 | 4.54x |
| 69706 | Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose | 71 | $144.6K | $2.0K | 2.94x |
| 70486 | CT scan of face | 994 | $103.2K | $103.81 | 3.96x |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 381 | $98.3K | $257.89 | 5.76x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $91.3K | $73.95 | 4.28x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 743 | $82.3K | $110.80 | 3.54x |
| 30140 | Removal of nasal air passage | 418 | $74.4K | $177.93 | 8.11x |
| 69705 | Dilation of canal between middle ear and throat (eustachian tube) on one side of body, using endoscope inserted through nose | 24 | $47.7K | $2.0K | 2.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 740 | $47.3K | $63.94 | 4.93x |
| 69210 | Removal of impact ear wax, one ear | 1.2K | $36.9K | $31.28 | 3.50x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 234 | $25.7K | $109.82 | 3.86x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 232 | $20.3K | $87.54 | 2.89x |
| 69436 | Incision of eardrum with insertion of eardrum tube under general anesthesia | 116 | $17.4K | $150.00 | 4.70x |
| 61782 | Computer-assisted procedure outside the brain | 99 | $13.7K | $138.43 | 3.22x |
| 31579 | Examination to assess movement of vocal cord flaps using an endoscope | 76 | $12.1K | $159.28 | 2.50x |
This provider submits charges 3.65 times higher than what Medicare actually pays.
A markup ratio of 3.65x means for every $100 Medicare pays, this provider initially charges $365. 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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