Medicare spending analysis for Otolaryngology providers
Otolaryngology accounts for $6.9B in Medicare payments across 85.8K providers.
The specialty's average markup of 3.3x is below the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
Providers in this specialty flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $687.8M | 13.7M | 8.6K | — |
| 2015 | $698.7M | 13.7M | 8.6K | +1.6% |
| 2016 | $701.2M | 13.9M | 8.6K | +0.4% |
| 2017 | $697.1M | 13.9M | 8.6K | -0.6% |
| 2018 | $708.1M | 14.0M | 8.6K | +1.6% |
| 2019 | $732.3M | 14.1M | 8.7K | +3.4% |
| 2020 | $569.6M | 11.2M | 8.6K | -22.2% |
| 2021 | $702.8M | 12.1M | 8.5K | +23.4% |
| 2022 | $697.2M | 11.9M | 8.5K | -0.8% |
| 2023 | $711.9M | 11.6M | 8.5K | +2.1% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Harvey Paley | CA | $8.9M | 141.3K | $62.90 |
| 2 | Kenny Rodriguez | IA | $3.2M | 31.1K | $104.33 |
| 3 | Andrew Jun | IL | $2.3M | 17.5K | $133.13 |
| 4 | Michael Kaplan | TX | $2.0M | 3.8K | $526.84 |
| 5 | Michael Friedman | IL | $1.8M | 4.2K | $424.50 |
| 6 | Benjamin Bassichis | TX | $1.7M | 4.8K | $354.46 |
| 7 | Brian Lee | AZ | $1.6M | 5.1K | $320.94 |
| 8 | James Gould | MO | $1.6M | 5.5K | $295.60 |
| 9 | James Oberman | MD | $1.4M | 3.3K | $431.49 |
| 10 | Madison Richardson | CA | $1.4M | 2.1K | $649.30 |
| 11 | Franklyn Gergits | AZ | $1.3M | 3.6K | $369.15 |
| 12 | Michael Bublik | CA | $1.2M | 22.5K | $54.25 |
| 13 | Tracy Byerly | TX | $1.2M | 12.0K | $100.23 |
| 14 | Michael Kim | CA | $1.1M | 7.9K | $144.15 |
| 15 | Naveen Kumar | AZ | $1.1M | 2.6K | $435.44 |
| 16 | Edgar Lueg | CA | $1.1M | 4.6K | $243.84 |
| 17 | Bernard Durante | MA | $1.1M | 27.1K | $39.91 |
| 18 | Bryan Smedley | OK | $1.1M | 8.5K | $127.12 |
| 19 | Anit Patel | MA | $1.1M | 29.2K | $36.57 |
| 20 | Martin Hopp | CA | $1.1M | 5.0K | $212.73 |
| 21 | Vincent Nalbone | NV | $1.0M | 1.4K | $727.59 |
| 22 | Michael Prater | AZ | $982.0K | 13.6K | $72.02 |
| 23 | Ted Shen | CA | $969.8K | 5.6K | $172.38 |
| 24 | Stacey Hudson | NV | $957.1K | 2.3K | $419.58 |
| 25 | James Osborne | AZ | $896.6K | 10.5K | $85.24 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $110.2M | 1.7M | $64.61 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $102.6M | 1.1M | $92.50 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | $82.5M | 604.6K | $136.43 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $60.7M | 516.9K | $117.52 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $48.4M | 622.4K | $77.72 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | $41.4M | 449.3K | $92.23 |
| 69210 | Removal of impacted ear wax | $26.8M | 841.6K | $31.80 |
| 31298 | Dilation of sphenoid and frontal nasal sinus using an endoscope | $22.8M | 6.1K | $3.8K |
| 95165 | Professional service for preparation and provision of 1 or more antigens | $15.3M | 1.4M | $10.63 |
| 31295 | Dilation of nasal sinus using an endoscope | $15.2M | 8.6K | $1.8K |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | $12.6M | 48.2K | $261.15 |
| 31579 | Exam to assess movement of vocal cord flaps using an endoscope | $11.1M | 76.7K | $144.92 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | $6.1M | 157.1K | $38.75 |
| 92557 | Comprehensive hearing and speech recognition test | $5.9M | 218.0K | $27.20 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $5.8M | 44.7K | $130.25 |
| 70486 | Ct scan of face without contrast | $5.5M | 58.5K | $93.58 |
| 30117 | Removal or destruction of growth of nose through nose | $5.1M | 11.6K | $435.94 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | $5.0M | 129.3K | $38.81 |
| 31525 | Diagnostic exam of voice box using an endoscope | $4.6M | 34.3K | $133.55 |
| 38724 | Removal of lymph nodes, muscle, and tissue of neck | $4.4M | 4.3K | $1.0K |
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.