This provider's $11.3M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 287% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 220% in 2017
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 | $614.11 | $148.65 | 4.13x | $465.46 | $383.1K | 3.7K | 2.3K |
| 2015 | $683.11 | $122.55 | 5.57x | $560.56 | $238.3K | 2.4K | 1.4K |
| 2016 | $627.53 | $111.51 | 5.63x | $516.02 | $298.8K | 2.8K | 1.5K |
| 2017 | $509.38 | $106.06 | 4.80x | $403.32 | $955.0K | 8.9K | 4.4K |
| 2018 | $629.11 | $170.78 | 3.68x | $458.33 | $1.6M | 10.9K | 4.8K |
| 2019 | $573.72 | $166.89 | 3.44x | $406.83 | $2.1M | 9.4K | 3.8K |
| 2020 | $581.68 | $166.20 | 3.50x | $415.48 | $1.3M | 9.9K | 3.2K |
| 2021 | $773.05 | $234.73 | 3.29x | $538.32 | $1.5M | 12.4K | 2.6K |
| 2022 | $525.98 | $151.62 | 3.47x | $374.36 | $1.5M | 15.7K | 3.6K |
| 2023 | $553.02 | $152.14 | 3.63x | $400.88 | $1.5M | 19.1K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 2.2K | $3.7M | $1.7K | 3.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 50.7K | $3.1M | $61.40 | 3.39x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 4.7K | $969.3K | $206.85 | 3.58x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 5.2K | $821.9K | $159.60 | 4.00x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.6K | $447.9K | $171.49 | 4.31x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.7K | $438.9K | $161.43 | 4.06x |
| 29580 | Strapping, Unna boot | 4.1K | $247.6K | $59.97 | 4.63x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.2K | $184.0K | $152.43 | 4.21x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.2K | $181.1K | $56.42 | 3.53x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 722 | $165.3K | $228.93 | 2.96x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $124.8K | $82.63 | 4.12x |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 1.5K | $90.4K | $59.70 | 3.35x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 423 | $85.6K | $202.42 | 5.72x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 904 | $73.9K | $81.73 | 4.37x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 1.9K | $70.8K | $37.94 | 1.71x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.1K | $64.6K | $57.68 | 3.18x |
| 76700 | Ultrasound of abdomen | 474 | $50.2K | $105.97 | 3.41x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1.1K | $42.4K | $39.94 | 2.13x |
| 17250 | Application of chemical agent to excessive wound tissue | 558 | $36.1K | $64.76 | 5.14x |
| 20553 | Injections of trigger points in 3 or more muscles | 694 | $34.6K | $49.92 | 3.59x |
This provider submits charges 3.58 times higher than what Medicare actually pays.
A markup ratio of 3.58x means for every $100 Medicare pays, this provider initially charges $358. 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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