This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 204% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% 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 | $115.26 | $49.93 | 2.31x | $65.33 | $140.7K | 2.4K | 2.2K |
| 2015 | $116.61 | $48.81 | 2.39x | $67.80 | $160.5K | 2.9K | 2.7K |
| 2016 | $117.46 | $50.17 | 2.34x | $67.29 | $231.4K | 4.2K | 3.9K |
| 2017 | $138.99 | $66.61 | 2.09x | $72.38 | $388.0K | 6.4K | 6.0K |
| 2018 | $141.25 | $64.89 | 2.18x | $76.36 | $483.2K | 7.4K | 6.1K |
| 2019 | $129.02 | $59.65 | 2.16x | $69.37 | $505.6K | 8.3K | 6.9K |
| 2020 | $123.97 | $60.25 | 2.06x | $63.72 | $433.3K | 8.5K | 7.2K |
| 2021 | $142.79 | $56.08 | 2.55x | $86.71 | $496.3K | 9.1K | 7.8K |
| 2022 | $157.33 | $55.21 | 2.85x | $102.12 | $431.9K | 8.4K | 6.9K |
| 2023 | $145.00 | $52.49 | 2.76x | $92.51 | $427.3K | 8.8K | 7.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 14.3K | $1.5M | $102.16 | 1.67x |
| 69210 | Removal of impact ear wax, one ear | 32.7K | $1.2M | $37.42 | 2.58x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 6.2K | $349.0K | $56.60 | 2.47x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 4.3K | $315.3K | $73.89 | 2.27x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 7.7K | $278.9K | $36.35 | 3.21x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 304 | $17.3K | $56.91 | 1.41x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 185 | $15.7K | $84.86 | 1.65x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 143 | $7.3K | $51.28 | 3.15x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 49 | $6.2K | $126.25 | 2.34x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 56 | $5.3K | $95.04 | 3.68x |
| 99324 | New patient assisted living visit, typically 20 minutes | 98 | $4.4K | $44.85 | 2.68x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 35 | $2.6K | $75.39 | 2.04x |
| 92557 | Air and bone conduction assessment of hearing loss and speech recognition | 48 | $1.5K | $31.60 | 4.53x |
| 92588 | Placement of ear probe for computerized cochlear assessment of repeated sounds with interpretation and report | 48 | $1.3K | $27.87 | 5.38x |
| 92563 | Hearing test using earphones | 48 | $1.3K | $27.38 | 1.39x |
| 92570 | Detection of middle ear fluid with assessment of eardrum and muscle function | 48 | $1.3K | $26.97 | 1.56x |
| 92571 | Assessment of hearing using speech test with tone filtering | 48 | $1.2K | $24.19 | 1.65x |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 31 | $1.1K | $36.50 | 2.34x |
This provider submits charges 2.22 times higher than what Medicare actually pays.
A markup ratio of 2.22x means for every $100 Medicare pays, this provider initially charges $222. 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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