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Methodology•Download Data
  1. Home
  2. Providers
  3. James Osborne
⚕️
DOIndividual

James Osborne, D.O.

NPI: 1912944042
Phoenix, AZ
10 years of data
Otolaryngology
$3.8M
Total Payments
25.4K
Beneficiaries
53.0K
Services
3.02x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$3.8M
Specialty median$80.5K

📋 Key Findings

1Billed $3.8M over 10 years
23.02x markup ratio (above median)
399th percentile in Otolaryngology by payments
4Payments surged 76% in 2018
511 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.

Medicare payments to this provider grew 365% 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 76% in 2018

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$230.98$114.392.02x$116.59$179.0K3.9K2.3K
2015$185.22$88.762.09x$96.46$162.2K4.6K2.3K
2016$102.89$55.531.85x$47.36$146.0K4.8K2.3K
2017$265.23$121.772.18x$143.46$164.3K4.6K2.1K
2018$585.39$322.061.82x$263.33$289.4K6.7K3.0K
2019$806.95$275.642.93x$531.31$413.1K7.8K3.3K
2020$1.3K$359.363.65x$951.53$525.1K6.1K2.5K
2021$1.1K$317.223.55x$809.97$551.4K5.8K2.9K
2022$971.94$293.193.32x$678.75$517.7K4.8K2.5K
2023$1.4K$363.103.75x$999.97$832.0K4.0K2.2K

Top Procedures (20)

31298Dilation of nasal sinus using an endoscope⚠ 3.1x markup
$1.2M
307 services$4.0K/svc3.08x markup
31295Dilation of nasal sinus using an endoscope⚠ 3.8x markup
$525.6K
308 services$1.7K/svc3.75x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$401.5K
7.4K services$54.34/svc1.89x markup
31231Diagnostic examination of nasal passages using an endoscope
$217.2K
1.4K services$149.77/svc2.65x markup
99203New patient office or other outpatient visit, typically 30 minutes
$191.4K
2.5K services$75.92/svc2.22x markup
31575Diagnostic examination of voice box using flexible endoscope
$150.4K
1.7K services$87.52/svc2.45x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$114.7K
1.3K services$88.26/svc2.01x markup
31237Biopsy or removal of nasal polyp or tissue using an endoscope⚠ 3.7x markup
$110.0K
385 services$285.71/svc3.70x markup
95115Injection of incremental dosages of allergen⚠ 3.1x markup
$89.5K
13.7K services$6.53/svc3.14x markup
92557Air and bone conduction assessment of hearing loss and speech recognition
$83.2K
3.0K services$27.78/svc2.50x markup
99204New patient office or other outpatient visit, typically 45 minutes
$72.8K
631 services$115.45/svc2.50x markup
31254Partial removal of nasal sinus using an endoscope⚠ 5.3x markup
$69.1K
241 services$286.86/svc5.28x markup
30140Removal of nasal air passage⚠ 5.7x markup
$68.1K
358 services$190.10/svc5.70x markup
95117Injection of incremental dosages of allergen, 2 or more injections⚠ 3.3x markup
$65.1K
8.6K services$7.61/svc3.31x markup
31238Control of nasal bleeding using an endoscope
$58.6K
258 services$227.13/svc2.40x markup
69706Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose⚠ 3.1x markup
$54.7K
28 services$2.0K/svc3.07x markup
70486CT scan of face⚠ 4.3x markup
$51.1K
529 services$96.54/svc4.33x markup
92567Eardrum testing using ear probe
$34.2K
3.0K services$11.21/svc2.67x markup
30117Removal or destruction of growth of nose through nose⚠ 4.9x markup
$33.1K
88 services$375.95/svc4.87x markup
69210Removal of impact ear wax, one ear⚠ 3.3x markup
$25.0K
739 services$33.83/svc3.34x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
31298Dilation of nasal sinus using an endoscope307$1.2M$4.0K3.08x
31295Dilation of nasal sinus using an endoscope308$525.6K$1.7K3.75x
99213Established patient office or other outpatient visit, typically 15 minutes7.4K$401.5K$54.341.89x
31231Diagnostic examination of nasal passages using an endoscope1.4K$217.2K$149.772.65x
99203New patient office or other outpatient visit, typically 30 minutes2.5K$191.4K$75.922.22x
31575Diagnostic examination of voice box using flexible endoscope1.7K$150.4K$87.522.45x
99214Established patient office or other outpatient, visit typically 25 minutes1.3K$114.7K$88.262.01x
31237Biopsy or removal of nasal polyp or tissue using an endoscope385$110.0K$285.713.70x
95115Injection of incremental dosages of allergen13.7K$89.5K$6.533.14x
92557Air and bone conduction assessment of hearing loss and speech recognition3.0K$83.2K$27.782.50x
99204New patient office or other outpatient visit, typically 45 minutes631$72.8K$115.452.50x
31254Partial removal of nasal sinus using an endoscope241$69.1K$286.865.28x
30140Removal of nasal air passage358$68.1K$190.105.70x
95117Injection of incremental dosages of allergen, 2 or more injections8.6K$65.1K$7.613.31x
31238Control of nasal bleeding using an endoscope258$58.6K$227.132.40x
69706Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose28$54.7K$2.0K3.07x
70486CT scan of face529$51.1K$96.544.33x
92567Eardrum testing using ear probe3.0K$34.2K$11.212.67x
30117Removal or destruction of growth of nose through nose88$33.1K$375.954.87x
69210Removal of impact ear wax, one ear739$25.0K$33.833.34x

Markup Analysis

Charge-to-Payment Ratio

3.02x

This provider submits charges 3.02 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. This is higher than the national average.

Location

Phoenix, AZ

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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