This provider's $8.1M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 119% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 205% in 2023
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 | $1.3K | $234.78 | 5.53x | $1.1K | $710.5K | 4.0K | 2.7K |
| 2015 | $1.8K | $288.10 | 6.38x | $1.5K | $713.1K | 4.0K | 2.5K |
| 2016 | $1.6K | $274.02 | 5.86x | $1.3K | $602.0K | 3.6K | 2.2K |
| 2017 | $1.8K | $284.05 | 6.30x | $1.5K | $1.1M | 4.2K | 2.9K |
| 2018 | $1.6K | $322.78 | 4.97x | $1.3K | $1.1M | 3.7K | 2.6K |
| 2019 | $1.5K | $331.59 | 4.45x | $1.1K | $741.2K | 2.8K | 1.9K |
| 2020 | $1.3K | $377.53 | 3.46x | $930.60 | $574.7K | 2.1K | 1.4K |
| 2021 | $1.2K | $417.22 | 2.91x | $798.73 | $533.6K | 2.2K | 1.4K |
| 2022 | $984.76 | $337.63 | 2.92x | $647.13 | $510.0K | 2.5K | 1.7K |
| 2023 | $2.3K | $551.62 | 4.12x | $1.7K | $1.6M | 2.7K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 31298 | Dilation of nasal sinus using an endoscope | 594 | $2.4M | $4.1K | 3.29x |
| 31295 | Dilation of nasal sinus using an endoscope | 1.1K | $1.5M | $1.4K | 4.12x |
| 31296 | Dilation of nasal sinus using an endoscope | 440 | $1.0M | $2.3K | 4.59x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 4.2K | $632.9K | $150.86 | 2.01x |
| 31297 | Dilation of nasal sinus using an endoscope | 359 | $412.9K | $1.2K | 9.10x |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 1.3K | $368.0K | $290.03 | 5.40x |
| 30117 | Removal or destruction of growth in nose | 798 | $292.0K | $365.91 | 2.82x |
| 69706 | Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose | 133 | $272.6K | $2.0K | 2.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.0K | $218.2K | $54.29 | 2.04x |
| 30140 | Removal of nasal air passage | 1.0K | $212.4K | $206.04 | 9.54x |
| 70486 | CT scan of face | 1.6K | $170.0K | $105.00 | 5.13x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $125.7K | $76.29 | 1.84x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $110.9K | $71.71 | 2.54x |
| 30469 | Repair of collapsed nasal valve | 72 | $69.7K | $968.40 | 4.52x |
| 95117 | Injection of incremental dosages of allergen, 2 or more injections | 6.1K | $45.0K | $7.33 | 4.07x |
| 69210 | Removal of impact ear wax, one ear | 1.3K | $38.5K | $30.23 | 2.69x |
| 92557 | Air and bone conduction assessment of hearing loss and speech recognition | 1.3K | $34.5K | $27.01 | 3.53x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 408 | $34.4K | $84.24 | 3.24x |
| 30520 | Reshaping of nasal cartilage | 60 | $21.2K | $352.96 | 8.78x |
| 31255 | Removal of nasal sinus using an endoscope | 105 | $18.9K | $180.22 | 14.45x |
This provider submits charges 4.09 times higher than what Medicare actually pays.
A markup ratio of 4.09x means for every $100 Medicare pays, this provider initially charges $409. 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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