This provider's $8.3M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 235% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% in 2017
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 | $2.9K | $749.52 | 3.91x | $2.2K | $335.6K | 2.1K | 1.1K |
| 2015 | $2.7K | $660.50 | 4.09x | $2.0K | $335.2K | 2.2K | 1.2K |
| 2016 | $2.5K | $593.16 | 4.24x | $1.9K | $432.7K | 2.7K | 1.3K |
| 2017 | $2.4K | $583.12 | 4.17x | $1.8K | $706.5K | 3.4K | 1.7K |
| 2018 | $2.8K | $820.00 | 3.38x | $1.9K | $838.9K | 3.4K | 1.6K |
| 2019 | $2.7K | $858.10 | 3.18x | $1.9K | $967.5K | 3.6K | 1.8K |
| 2020 | $2.7K | $959.52 | 2.84x | $1.8K | $1.1M | 3.3K | 1.7K |
| 2021 | $2.5K | $880.47 | 2.80x | $1.6K | $1.4M | 4.3K | 2.0K |
| 2022 | $2.5K | $795.38 | 3.12x | $1.7K | $1.1M | 4.4K | 2.2K |
| 2023 | $2.5K | $761.54 | 3.26x | $1.7K | $1.1M | 4.6K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 31298 | Dilation of nasal sinus using an endoscope | 535 | $2.7M | $5.0K | 2.77x |
| 31295 | Dilation of nasal sinus using an endoscope | 650 | $1.3M | $1.9K | 3.78x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.5K | $1.1M | $93.25 | 3.38x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 5.7K | $1.0M | $181.64 | 3.38x |
| 31233 | Examination of nasal passage and sinus using an endoscope | 4.3K | $1.0M | $239.19 | 3.50x |
| 31296 | Dilation of nasal sinus using an endoscope | 115 | $324.2K | $2.8K | 2.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $243.0K | $125.99 | 3.67x |
| 69210 | Removal of impact ear wax, one ear | 7.1K | $198.1K | $27.93 | 5.58x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $160.0K | $135.02 | 3.13x |
| 31297 | Dilation of nasal sinus using an endoscope | 114 | $158.1K | $1.4K | 5.72x |
| 92511 | Examination of the nose and throat using an endoscope | 551 | $61.4K | $111.45 | 4.66x |
| 31090 | Removal of diseased tissue or growths in multiple nasal sinuses on one side of face | 40 | $45.3K | $1.1K | 2.67x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 234 | $40.0K | $170.84 | 3.56x |
| 30140 | Removal of nasal air passage | 57 | $16.5K | $290.34 | 4.63x |
| 30520 | Reshaping of nasal cartilage | 53 | $15.4K | $291.20 | 6.34x |
| 69200 | Removal of foreign body from ear canal | 54 | $3.2K | $59.31 | 6.28x |
This provider submits charges 3.35 times higher than what Medicare actually pays.
A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. 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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