This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
Their average markup ratio of 8.3x is significantly above the specialty median of 4.7x.
AI-generated analysis based on Medicare payment data.
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 | $10.8K | $1.3K | 8.60x | $9.5K | $745.2K | 872 | 872 |
| 2015 | $10.3K | $1.3K | 8.24x | $9.1K | $701.9K | 784 | 784 |
| 2016 | $11.3K | $1.3K | 8.92x | $10.0K | $613.5K | 678 | 677 |
| 2017 | $9.2K | $1.1K | 8.28x | $8.1K | $513.3K | 606 | 604 |
| 2018 | $10.2K | $1.3K | 7.94x | $8.9K | $615.8K | 669 | 668 |
| 2019 | $10.2K | $1.3K | 7.68x | $8.8K | $580.8K | 669 | 667 |
| 2020 | $10.5K | $1.4K | 7.59x | $9.1K | $436.5K | 487 | 484 |
| 2021 | $9.2K | $1.2K | 7.72x | $8.0K | $473.2K | 576 | 575 |
| 2022 | $9.7K | $1.2K | 8.13x | $8.5K | $444.9K | 558 | 558 |
| 2023 | $10.3K | $1.2K | 8.74x | $9.1K | $476.1K | 562 | 561 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 780 | $1.4M | $1.7K | 9.89x |
| 33863 | Placement of graft to aorta on heart-lung machine | 203 | $594.7K | $2.9K | 6.47x |
| 33860 | Placement of graft to aorta on heart-lung machine | 192 | $581.1K | $3.0K | 6.32x |
| 33533 | Heart artery bypass to repair one artery | 374 | $525.3K | $1.4K | 11.18x |
| 33430 | Replacement of valve between left upper and lower chambers on heart-lung machine | 184 | $463.8K | $2.5K | 6.51x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.4K | $432.3K | $181.86 | 3.85x |
| 33877 | Repair of bulging defect (aneurysm) of aorta | 61 | $212.1K | $3.5K | 5.67x |
| 33871 | Repair of transverse arch of aorta with graft on heart-lung machine | 74 | $210.3K | $2.8K | 6.94x |
| 33859 | Repair of ascending aorta with graft on heart-lung machine, for disease other than separation of wall of aorta (dissection) | 106 | $200.5K | $1.9K | 9.91x |
| 33427 | Repair of valve flaps between left heart chambers on heart-lung machine | 87 | $190.3K | $2.2K | 7.77x |
| 33870 | Placement of graft to aorta on heart-lung machine | 125 | $150.6K | $1.2K | 15.19x |
| 33464 | Repair of heart valve between right chambers with insertion of prosthetic valve ring | 72 | $112.6K | $1.6K | 10.94x |
| 33530 | Reoperation of heart artery bypass or valve procedure more than 1 month after original operation | 218 | $110.3K | $505.99 | 6.13x |
| 33510 | Heart artery bypass to repair one artery | 113 | $106.8K | $945.12 | 15.13x |
| 33426 | Insertion of artificial valve between left heart chambers on heart-lung machine | 39 | $68.3K | $1.8K | 9.54x |
| 33518 | Combined multiple vein and artery heart artery bypasses | 156 | $62.5K | $400.96 | 5.99x |
| 33511 | Heart artery bypass to repair multiple arteries | 39 | $48.4K | $1.2K | 12.98x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 253 | $45.4K | $179.60 | 3.44x |
| 33259 | Destruction of tissue and reconstruction of right upper heart on heart-lung machine | 51 | $42.2K | $826.79 | 7.50x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 248 | $33.6K | $135.52 | 3.69x |
This provider submits charges 8.3 times higher than what Medicare actually pays.
A markup ratio of 8.3x means for every $100 Medicare pays, this provider initially charges $830. 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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