This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Their average markup ratio of 5.82x is significantly above the specialty median of 4.7x.
Medicare payments to this provider grew 942% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 403% in 2020
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $770.41 | $223.93 | 3.44x | $546.48 | $168.0K | 828 | 728 |
| 2015 | $2.4K | $329.43 | 7.23x | $2.1K | $287.4K | 1.1K | 1.0K |
| 2016 | $748.67 | $223.83 | 3.34x | $524.84 | $127.9K | 844 | 758 |
| 2017 | $752.01 | $230.89 | 3.26x | $521.12 | $175.9K | 992 | 879 |
| 2018 | $1.1K | $228.05 | 4.89x | $887.56 | $132.1K | 754 | 680 |
| 2019 | $1.1K | $223.71 | 5.06x | $908.78 | $159.4K | 949 | 820 |
| 2020 | $3.4K | $641.74 | 5.30x | $2.8K | $802.6K | 1.5K | 1.2K |
| 2021 | $4.1K | $758.77 | 5.37x | $3.3K | $1.3M | 1.6K | 1.1K |
| 2022 | $5.2K | $847.32 | 6.11x | $4.3K | $1.4M | 1.3K | 802 |
| 2023 | $7.5K | $1.2K | 6.38x | $6.3K | $1.8M | 1.6K | 987 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 506 | $2.6M | $5.2K | 5.06x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 570 | $1.5M | $2.6K | 8.29x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 396 | $312.1K | $788.15 | 5.39x |
| 33533 | Heart artery bypass to repair one artery | 227 | $309.4K | $1.4K | 3.72x |
| 37227 | Removal of plaque and insertion of stents in arteries of leg | 19 | $162.4K | $8.5K | 5.38x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 98 | $111.0K | $1.1K | 8.49x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 61 | $93.5K | $1.5K | 4.42x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 80 | $93.4K | $1.2K | 3.69x |
| 35301 | Removal of blood clot and portion of artery of neck | 96 | $79.8K | $830.81 | 3.62x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 438 | $79.4K | $181.24 | 4.50x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 488 | $64.7K | $132.58 | 4.22x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 71 | $56.6K | $797.31 | 4.65x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 396 | $53.1K | $134.16 | 4.77x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 145 | $48.2K | $332.54 | 4.79x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 120 | $43.0K | $358.05 | 4.96x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 696 | $42.3K | $60.80 | 4.35x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 14 | $40.9K | $2.9K | 9.66x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 508 | $39.4K | $77.61 | 4.03x |
| 35475 | Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin | 45 | $37.7K | $837.97 | 12.76x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 239 | $37.2K | $155.52 | 3.92x |
This provider submits charges 5.82 times higher than what Medicare actually pays.
A markup ratio of 5.82x means for every $100 Medicare pays, this provider initially charges $582. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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