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Methodology•Download Data
  1. Home
  2. Providers
  3. Bob Armin
⚕️
MDIndividual

Bob Armin, M.D.

NPI: 1790960888
West Hills, CA
10 years of data
Otolaryngology
$3.4M
Total Payments
27.1K
Beneficiaries
33.5K
Services
2.94x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$3.4M
Specialty median$80.5K

📋 Key Findings

1Billed $3.4M over 10 years
22.94x markup ratio (above median)
399th percentile in Otolaryngology by payments
4Payments surged 312% in 2015
59 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.

Medicare payments to this provider grew 1560% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 312% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$218.51$62.913.47x$155.60$34.4K553463
2015$237.63$80.112.97x$157.52$141.8K2.2K1.8K
2016$1.7K$421.993.97x$1.3K$332.2K3.3K2.6K
2017$1.6K$392.594.16x$1.2K$351.7K3.1K2.5K
2018$1.4K$458.883.08x$955.43$396.9K3.2K2.6K
2019$1.6K$512.683.02x$1.0K$354.3K3.9K3.0K
2020$1.6K$569.852.72x$980.27$346.1K3.3K2.7K
2021$1.5K$561.832.68x$944.17$462.1K4.2K3.4K
2022$1.2K$464.352.64x$762.19$364.0K4.3K3.5K
2023$1.8K$507.033.54x$1.3K$571.0K5.5K4.5K

Top Procedures (20)

31298Dilation of nasal sinus using an endoscope
$573.6K
117 services$4.9K/svc2.22x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.1x markup
$511.9K
7.9K services$65.06/svc3.10x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$373.6K
3.9K services$96.39/svc2.64x markup
69210Removal of impact ear wax, one ear
$340.2K
8.9K services$38.41/svc2.61x markup
99203New patient office or other outpatient visit, typically 30 minutes
$274.7K
3.2K services$87.18/svc2.88x markup
31295Dilation of nasal sinus using an endoscope⚠ 4.5x markup
$258.3K
147 services$1.8K/svc4.55x markup
99204New patient office or other outpatient visit, typically 45 minutes
$223.2K
1.7K services$132.17/svc2.40x markup
31233Examination of nasal passage and sinus using an endoscope
$156.1K
466 services$335.08/svc2.10x markup
31296Dilation of nasal sinus using an endoscope
$122.4K
44 services$2.8K/svc2.88x markup
31231Diagnostic examination of nasal passages using an endoscope⚠ 3.0x markup
$111.9K
629 services$177.95/svc3.02x markup
31575Diagnostic examination of voice box using flexible endoscope
$106.7K
1.0K services$106.43/svc2.78x markup
92557Air and bone conduction assessment of hearing loss and speech recognition⚠ 3.0x markup
$54.8K
1.7K services$32.06/svc3.02x markup
31297Dilation of nasal sinus using an endoscope⚠ 5.5x markup
$54.8K
40 services$1.4K/svc5.48x markup
92588Placement of ear probe for computerized cochlear assessment of repeated sounds with interpretation and report⚠ 4.3x markup
$44.6K
1.6K services$28.56/svc4.35x markup
92570Detection of middle ear fluid with assessment of eardrum and muscle function
$42.6K
1.5K services$27.74/svc2.52x markup
31579Examination to assess movement of vocal cord flaps using an endoscope⚠ 3.0x markup
$36.7K
224 services$164.05/svc3.05x markup
30140Removal of nasal air passage⚠ 8.6x markup
$31.5K
141 services$223.41/svc8.62x markup
31237Biopsy or removal of nasal polyp or tissue using an endoscope
$16.3K
50 services$325.00/svc2.47x markup
69200Removal of foreign body from ear canal⚠ 4.8x markup
$7.6K
102 services$74.31/svc4.79x markup
30901Simple control of nose bleed
$4.5K
43 services$105.18/svc2.78x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
31298Dilation of nasal sinus using an endoscope117$573.6K$4.9K2.22x
99213Established patient office or other outpatient visit, typically 15 minutes7.9K$511.9K$65.063.10x
99214Established patient office or other outpatient, visit typically 25 minutes3.9K$373.6K$96.392.64x
69210Removal of impact ear wax, one ear8.9K$340.2K$38.412.61x
99203New patient office or other outpatient visit, typically 30 minutes3.2K$274.7K$87.182.88x
31295Dilation of nasal sinus using an endoscope147$258.3K$1.8K4.55x
99204New patient office or other outpatient visit, typically 45 minutes1.7K$223.2K$132.172.40x
31233Examination of nasal passage and sinus using an endoscope466$156.1K$335.082.10x
31296Dilation of nasal sinus using an endoscope44$122.4K$2.8K2.88x
31231Diagnostic examination of nasal passages using an endoscope629$111.9K$177.953.02x
31575Diagnostic examination of voice box using flexible endoscope1.0K$106.7K$106.432.78x
92557Air and bone conduction assessment of hearing loss and speech recognition1.7K$54.8K$32.063.02x
31297Dilation of nasal sinus using an endoscope40$54.8K$1.4K5.48x
92588Placement of ear probe for computerized cochlear assessment of repeated sounds with interpretation and report1.6K$44.6K$28.564.35x
92570Detection of middle ear fluid with assessment of eardrum and muscle function1.5K$42.6K$27.742.52x
31579Examination to assess movement of vocal cord flaps using an endoscope224$36.7K$164.053.05x
30140Removal of nasal air passage141$31.5K$223.418.62x
31237Biopsy or removal of nasal polyp or tissue using an endoscope50$16.3K$325.002.47x
69200Removal of foreign body from ear canal102$7.6K$74.314.79x
30901Simple control of nose bleed43$4.5K$105.182.78x

Markup Analysis

Charge-to-Payment Ratio

2.94x

This provider submits charges 2.94 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.94x means for every $100 Medicare pays, this provider initially charges $294. This is higher than the national average.

Location

West Hills, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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