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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 36465
  4. Cost Analysis

How Much Does Injection of chemical agent into single incompetent vein of leg using ultrasound guidance Cost on Medicare?

Cost analysis for CPT 36465 — Injection of chemical agent into single incompetent vein of leg using ultrasound guidance

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Average Medicare Payment

$1037.95

2023 data

Total Payments (2023)

$80.5M

Services (2023)

76.4K

Price Change (2018–2023)

-14.1%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2018$1208.23$12.4M9.9K—
2019$1219.68$31.9M25.5K+0.9%
2020$1228.75$38.4M30.6K+0.7%
2021$1228.95$62.7M49.9K+0.0%
2022$1106.10$67.9M60.7K-10.0%
2023$1037.95$80.5M76.4K-6.2%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. NY averages $1237.84 vs MS at $806.70.

StateAvg PaymentTotal PaymentsServicesProviders
NY$1237.84$7.6M6.1K75
DC$1228.50$266.6K2173
NJ$1200.83$4.6M3.8K43
CA$1161.90$10.8M9.3K100
MD$1154.88$2.6M2.3K36
CT$1119.69$1.2M1.1K18
VA$1100.30$1.4M1.3K17
MA$1092.87$244.8K2249
IL$1050.85$3.3M3.1K46
CO$1048.55$2.2M2.1K22
NV$1040.29$1.6M1.6K10
OR$1038.31$208.7K2017
MN$1030.47$274.1K2666
MI$1028.26$1.6M1.5K28
TX$1020.20$7.6M7.5K106
PA$1018.54$1.3M1.3K20
NE$1010.08$164.6K1634
MT$1008.42$166.4K1652
AZ$1008.02$4.0M4.0K53
WI$1005.48$327.8K3263
FL$1002.17$12.9M12.9K143
GA$991.64$1.3M1.3K25
NM$986.57$340.4K3455
KY$976.76$311.6K3195
NC$972.16$2.2M2.3K31
UT$952.85$232.5K2446
LA$948.87$1.0M1.1K16
IN$942.62$1.9M2.0K18
TN$938.72$1.9M2.0K34
OH$935.98$1.7M1.8K19
SC$932.45$763.7K81916
MO$932.29$874.5K93812
IA$928.62$295.3K3185
AR$914.26$1.2M1.3K8
AL$904.46$924.4K1.0K10
KS$889.92$315.0K3545
MS$806.70$167.8K2084

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Kenneth GoldmanGeneral SurgeryNJ$1.0M824$1223.89
Salvador BorromeoCardiologyNV$934.1K892$1047.21
Rami SartawiInterventional RadiologyNY$822.2K648$1268.84
Sam EbrahimiVascular SurgeryCA$745.1K598$1246.04
Vinod KumarCardiologyCA$652.2K571$1142.17
Nazar GolewaleDiagnostic RadiologyIN$638.3K676$944.22
Steven SamuelGeneral SurgeryIN$630.4K668$943.78
Vahe MelkonyanVascular SurgeryCA$624.3K512$1219.26
Christopher BoyesVascular SurgeryFL$581.5K551$1055.38
John ChubackVascular SurgeryNJ$547.8K445$1230.93
Elliot SambolGeneral SurgeryNJ$520.7K423$1230.99
Dominic TolitanoCardiac SurgeryIL$497.0K506$982.28
Ravi SharmaVascular SurgeryFL$484.9K487$995.70
Hadi ShalhoubVascular SurgeryFL$481.2K473$1017.28
Anjani ThakurGeneral SurgeryCA$469.3K416$1128.03
Dev BatraDiagnostic RadiologyTX$464.0K438$1059.37
Gerard VitaleVascular SurgeryNY$456.6K359$1271.83
John HoggDiagnostic RadiologyTX$451.0K456$988.94
Sean StewartEmergency MedicineMD$437.9K387$1131.41
Terrill ApplewhiteInternal MedicineIL$437.4K430$1017.14

🤔 Is Injection of chemical agent into single incompetent vein of leg using ultrasound guidance Overpriced?

Based on the data, CPT 36465 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 14.1% since 2018. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.