Cost analysis for CPT 37225 — Removal of plaque in arteries of leg
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 6.3x more than the cheapest for this procedure. GU averages $6316.37 vs NM at $1007.49.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| GU | $6316.37 | $650.6K | 103 | 2 |
| MA | $5805.60 | $1.6M | 279 | 11 |
| NJ | $5327.86 | $5.5M | 1.0K | 31 |
| MD | $5248.69 | $8.8M | 1.7K | 30 |
| VA | $5178.43 | $2.1M | 402 | 13 |
| DC | $5086.82 | $681.6K | 134 | 3 |
| GA | $4947.90 | $885.7K | 179 | 8 |
| CT | $4926.25 | $817.8K | 166 | 8 |
| SC | $4804.77 | $831.2K | 173 | 8 |
| MI | $4652.57 | $4.6M | 989 | 29 |
| FL | $4631.16 | $15.3M | 3.3K | 93 |
| NY | $4578.09 | $8.6M | 1.9K | 45 |
| CA | $4480.34 | $24.8M | 5.5K | 95 |
| TN | $4416.93 | $3.0M | 671 | 26 |
| KY | $4351.32 | $557.0K | 128 | 5 |
| AZ | $4338.61 | $4.2M | 974 | 28 |
| TX | $4299.78 | $10.0M | 2.3K | 77 |
| SD | $4147.09 | $854.3K | 206 | 6 |
| NV | $4060.14 | $556.2K | 137 | 6 |
| NC | $3929.90 | $2.8M | 706 | 25 |
| AL | $3670.25 | $1.2M | 331 | 16 |
| PA | $3652.36 | $829.1K | 227 | 9 |
| OH | $3637.38 | $796.6K | 219 | 6 |
| KS | $3555.04 | $533.3K | 150 | 7 |
| MS | $3531.85 | $2.4M | 671 | 20 |
| LA | $3466.14 | $1.3M | 389 | 17 |
| MO | $3159.22 | $394.9K | 125 | 5 |
| IL | $3004.97 | $1.8M | 602 | 23 |
| NE | $2667.09 | $333.4K | 125 | 2 |
| AR | $2603.99 | $1.5M | 566 | 17 |
| OK | $2294.59 | $546.1K | 238 | 6 |
| IN | $2236.89 | $583.8K | 261 | 11 |
| NM | $1007.49 | $104.8K | 104 | 4 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Matthew Kilbridge | Interventional Radiology | MD | $2.0M | 401 | $4974.24 |
| Mark Le | Diagnostic Radiology | FL | $1.4M | 352 | $4003.62 |
| Malwinder Singha | Interventional Radiology | CA | $1.4M | 356 | $3852.66 |
| Inder Singh | Cardiology | CA | $1.3M | 329 | $3841.47 |
| Amiel Moshfegh | Interventional Radiology | CA | $1.2M | 301 | $4081.69 |
| Andrei Gursky | Thoracic Surgery | MD | $1.2M | 265 | $4618.49 |
| Bahram Khazai | Interventional Cardiology | FL | $1.2M | 285 | $4137.23 |
| Joseph Ricotta | Vascular Surgery | FL | $1.1M | 225 | $4962.52 |
| Alexander Salloum | Vascular Surgery | CA | $940.1K | 182 | $5165.44 |
| Amar Amin | Interventional Radiology | CA | $939.6K | 180 | $5219.79 |
| Harold Tabaie | Vascular Surgery | CA | $881.1K | 214 | $4117.12 |
| Feliciano Serrano | Nephrology | CA | $871.6K | 205 | $4251.61 |
| Naveen Sharma | Cardiology | CA | $776.6K | 126 | $6163.28 |
| Nikhil Patel | Interventional Radiology | CA | $760.2K | 177 | $4294.68 |
| Shrikanth Upadya | Cardiology | FL | $741.6K | 116 | $6393.44 |
| Amir Salem | Diagnostic Radiology | NY | $740.3K | 157 | $4715.55 |
| Daniel Simon | Interventional Radiology | NJ | $657.3K | 130 | $5056.09 |
| Foluso Fakorede | Interventional Cardiology | MS | $634.1K | 154 | $4117.54 |
| Rahul Kar | Vascular Surgery | OH | $630.9K | 128 | $4929.10 |
| Rajiv Nagesetty | Vascular Surgery | CA | $622.9K | 90 | $6920.86 |
The data suggests significant pricing inconsistencies for CPT 37225. With a 6.3x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.