Cost analysis for CPT 36475 — Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
Average Medicare Payment
$816.17
2023 data
Total Payments (2023)
$55.1M
Services (2023)
65.8K
Price Change (2014–2023)
-31.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $1191.03 | $100.6M | 79.8K | — |
| 2015 | $1085.02 | $104.6M | 91.2K | -8.9% |
| 2016 | $1093.54 | $121.9M | 105.3K | +0.8% |
| 2017 | $1080.27 | $120.7M | 106.0K | -1.2% |
| 2018 | $1091.68 | $108.9M | 95.1K | +1.1% |
| 2019 | $1031.95 | $96.9M | 89.3K | -5.5% |
| 2020 | $1044.51 | $71.4M | 66.5K | +1.2% |
| 2021 | $985.48 | $74.6M | 73.4K | -5.7% |
| 2022 | $854.27 | $60.0M | 68.2K | -13.3% |
| 2023 | $816.17 | $55.1M | 65.8K | -4.5% |
The most expensive state pays 2.6x more than the cheapest for this procedure. DC averages $974.90 vs KS at $377.82.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $974.90 | $188.2K | 193 | 3 |
| NJ | $968.37 | $2.6M | 2.7K | 51 |
| NY | $953.05 | $3.0M | 3.2K | 81 |
| CA | $942.03 | $7.1M | 7.5K | 134 |
| CT | $930.75 | $1.5M | 1.6K | 38 |
| RI | $913.88 | $181.9K | 199 | 7 |
| HI | $903.75 | $179.8K | 199 | 3 |
| MD | $903.03 | $2.2M | 2.5K | 34 |
| NV | $878.32 | $549.8K | 626 | 11 |
| PA | $869.59 | $679.1K | 781 | 21 |
| IL | $850.34 | $1.6M | 1.9K | 35 |
| WY | $844.24 | $91.2K | 108 | 2 |
| FL | $843.05 | $7.9M | 9.4K | 155 |
| OR | $840.03 | $342.7K | 408 | 9 |
| LA | $837.09 | $731.6K | 874 | 11 |
| VA | $831.26 | $1.2M | 1.4K | 30 |
| NM | $830.94 | $268.4K | 323 | 4 |
| MA | $826.44 | $555.4K | 672 | 23 |
| AZ | $824.60 | $3.2M | 3.9K | 57 |
| TX | $822.57 | $8.8M | 10.6K | 136 |
| DE | $822.36 | $94.6K | 115 | 3 |
| MT | $819.78 | $278.7K | 340 | 6 |
| GA | $815.52 | $1.8M | 2.2K | 49 |
| CO | $801.23 | $798.0K | 996 | 20 |
| WA | $797.53 | $150.7K | 189 | 6 |
| KY | $787.93 | $425.5K | 540 | 7 |
| SC | $778.58 | $727.2K | 934 | 18 |
| MI | $777.56 | $944.7K | 1.2K | 33 |
| NC | $770.63 | $1.4M | 1.8K | 41 |
| SD | $755.55 | $128.4K | 170 | 5 |
| TN | $754.50 | $1.8M | 2.4K | 37 |
| MN | $746.40 | $152.3K | 204 | 8 |
| IA | $717.24 | $243.1K | 339 | 7 |
| WV | $716.87 | $185.0K | 258 | 5 |
| OH | $700.62 | $870.2K | 1.2K | 25 |
| UT | $680.09 | $214.2K | 315 | 11 |
| AR | $656.42 | $225.8K | 344 | 7 |
| WI | $636.32 | $200.4K | 315 | 9 |
| IN | $630.24 | $425.4K | 675 | 18 |
| NE | $553.32 | $111.2K | 201 | 6 |
| MS | $542.28 | $77.0K | 142 | 4 |
| OK | $538.02 | $187.8K | 349 | 13 |
| MO | $518.53 | $184.1K | 355 | 10 |
| AL | $490.89 | $246.4K | 502 | 13 |
| KS | $377.82 | $75.9K | 201 | 5 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sam Ebrahimi | Vascular Surgery | CA | $679.7K | 679 | $1001.00 |
| Joseph Magnant | Vascular Surgery | FL | $540.4K | 621 | $870.28 |
| Kelly O'donnell | General Practice | MD | $482.4K | 534 | $903.36 |
| John Milligan | General Surgery | TN | $454.0K | 597 | $760.55 |
| Kenneth Goldman | General Surgery | NJ | $413.1K | 417 | $990.75 |
| Mark Zuzga | Vascular Surgery | FL | $372.6K | 448 | $831.68 |
| Justin Smith | Interventional Radiology | TX | $340.1K | 385 | $883.36 |
| Larisse Lee | Vascular Surgery | CA | $323.4K | 332 | $974.02 |
| Michael Dao | Internal Medicine | CA | $316.6K | 321 | $986.19 |
| Ravi Sharma | Vascular Surgery | FL | $315.0K | 378 | $833.38 |
| Baljeet Uppal | Vascular Surgery | AZ | $314.0K | 378 | $830.59 |
| Hardeep Ahluwalia | Vascular Surgery | CA | $313.2K | 297 | $1054.65 |
| Thomas Eidson | Peripheral Vascular Disease | TX | $305.3K | 379 | $805.44 |
| Hadi Shalhoub | Vascular Surgery | FL | $303.6K | 359 | $845.77 |
| Stephen Kitchen | General Surgery | GA | $296.6K | 378 | $784.77 |
| Jonathan Marshall | Diagnostic Radiology | NY | $276.7K | 341 | $811.33 |
| Orange County Surgical Center | Ambulatory Surgical Center | CA | $275.0K | 213 | $1290.96 |
| Todd Spencer | Vascular Surgery | TX | $258.9K | 295 | $877.55 |
| David Feng | Interventional Radiology | NJ | $258.1K | 269 | $959.34 |
| Randall Juleff | Vascular Surgery | LA | $251.9K | 271 | $929.35 |
The data suggests significant pricing inconsistencies for CPT 36475. With a 2.6x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 31.5% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.