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NPI 1790755262 · Washington, DC · Otolaryngology Physician
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Khrosrow Makki is a otolaryngology physician provider located in Washington, District of Columbia. This profile covers 11 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Khrosrow Makki |
| Address | 110 Irving St Nw |
| City | Washington |
| State | DC |
| ZIP | 20010 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | January 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $443K |
| Medicaid | $4.3K |
The provider’s Medicare activity is concentrated in a small set of high-revenue procedures: the precomputed top 3 Medicare codes account for 78.3% of total Medicare revenue. The leading code is 31231 (endoscopic nasal examination), which alone represents 55.2% of Medicare revenue and drives a majority of the provider’s Medicare business, indicating a clinical focus on nasal/skull base endoscopic procedures in outpatient settings.
Medicaid billing is minimal relative to Medicare: total Medicaid revenue is $4.3K versus $443K in Medicare, so the practice is effectively Medicare-dominant with only a token Medicaid footprint. All Medicaid revenue is accounted for by a single code cluster (the precomputed top 3 Medicaid codes equal 100% of Medicaid revenue), with 31231 responsible for 100.0% of the Medicaid receipts, reinforcing that the same procedural service is the practice’s Medicaid activity.
The code mix indicates an otolaryngology practice centered on diagnostic and procedural airway/nasal services combined with routine outpatient evaluation and management. High-volume procedural code 31231 and substantial use of office visit codes 99212 and 99214/99204 suggest a workflow that pairs endoscopic nasal procedures with longitudinal outpatient follow-up and new-patient evaluations.
On competitive standing for Medicare, the provider is a national high-volume outlier on several key codes. 31231 ranks #13 of 6206 providers nationally (100th percentile) and 99212 ranks #166 of 99011 providers nationally (100th percentile), both described as notably above typical national volume or extreme outliers; this positions the clinician as a major national-volume provider for those services rather than a modest local practitioner.
For Medicaid, the provider’s standing is modest in-state for the procedure 31231: it ranks #4 of 6 providers in-state (40th percentile) with typical, unremarkable volume. This contrast — national dominance on Medicare for 31231 but only typical in-state ranking on Medicaid — suggests payer-dependent differences in caseload or billing participation.
Several other audiology and ear-related codes (69210, 92625, G0268, 92557–92550 series) appear as meaningful secondary Medicare revenue streams, collectively reflecting routine audiologic evaluation, cerumen removal, and middle-ear testing. Many of these codes are ranked notably above typical national volume or in high percentiles (e.g., 69210 at 99th, 92625 at 97th, G0268 at 97th), indicating the provider offers a broad set of ENT diagnostic services in addition to the dominant endoscopic nasal work.
The provider has long tenure in the NPI file, enumerated on 2006-01-25 (~20 years ago). That sustained enrollment combined with high national ranks on several codes suggests an established clinical practice with stable procedure mix and referral flows supporting high Medicare volumes.
Specific codes flagged as statistical outliers should frame any comparative analysis: 31231 and 99212 are labeled as extreme or notably above typical national volume, while 99214 and the audiology test bundle codes mostly fall in more typical high-percentile ranges. Analysts should interpret these labels as indicators of unusually high service volume for select CPTs rather than as clinical judgments about appropriateness.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 1,400 | $180 | $244.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,150 | $50 | $55.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 440 | $110 | $47.4K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 280 | $140 | $38.2K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 670 | $20 | $15.4K |
| 92625 | The provider assesses tinnitus, which is a phantom hearing perception generated within the patient's head: ringing, roaring, static. Tinnitus is a symptom, not a disease. | 190 | $60 | $11.5K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 290 | $40 | $11.5K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 210 | $30 | $6.9K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 290 | $20 | $4.4K |
| 92550 | The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,… | 210 | $20 | $4.2K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 50 | $90 | $4.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. District of Columbia median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 118 | 130 | 290 | $140 | $579.2K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 4 | 10 | 130 | $120 | $68.1K |
Other providers in the same ZIP code as Khrosrow Makki, ranked by combined Medicare and Medicaid revenue.
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