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AGRAMA, MARKMD NPI 1497781785 Clinician

Otolaryngology · JUPITER, FL

Specialty Otolaryngology — from billed Medicare claims
Trained UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 28 years since medical school (class of 1998, self-reported to CMS)
Location JUPITER, FL · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 22 codes billed · 2,976 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
FLORIDA ENT ASSOCIATES INC
2019–2026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2022-09

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
69210 Removal of impacted ear wax
95800 Sleep study including heart rate, breathing, and sleep time
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
31231 Diagnostic exam of nasal passages using an endoscope
31579 Exam to assess movement of vocal cord flaps using an endoscope
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
31237 Biopsy or removal of nasal polyp or tissue using an endoscope
92653 Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report
92537 Test to assess balance during warm and cool irrigation in both ears
92546 Test for abnormal eye movement using a rotating chair
92547 Use of electrodes during balance testing
92584 Test to assess electrical potentials generated in the inner ear as a result of sound stimulation
92540 Evaluation and testing for balance with recording
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
92517 Vemp testing of lower branch of inner ear nerve with interpretation and report
30117 Removal or destruction of growth of nose through nose
30801 Destruction of soft tissue of nasal passages
30469 Repair of collapsed nasal valve
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.