This provider's $10.2M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Their average markup ratio of 5.3x is significantly above the specialty median of 2.6x.
Medicare payments to this provider grew 866% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 197% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $1.4K | $153.24 | 9.34x | $1.3K | $164.2K | 2.3K | 1.7K |
| 2015 | $1.4K | $198.05 | 7.02x | $1.2K | $208.0K | 2.6K | 1.8K |
| 2016 | $4.0K | $947.16 | 4.18x | $3.0K | $447.7K | 2.8K | 2.2K |
| 2017 | $4.6K | $1.3K | 3.53x | $3.3K | $1.3M | 2.6K | 2.0K |
| 2018 | $3.3K | $794.87 | 4.10x | $2.5K | $860.5K | 2.5K | 2.1K |
| 2019 | $6.2K | $1.3K | 4.88x | $4.9K | $1.3M | 2.8K | 2.3K |
| 2020 | $7.2K | $1.4K | 5.27x | $5.8K | $1.5M | 2.1K | 1.7K |
| 2021 | $7.2K | $1.4K | 5.12x | $5.8K | $1.6M | 2.3K | 1.9K |
| 2022 | $7.2K | $1.2K | 5.89x | $6.0K | $1.2M | 3.7K | 2.9K |
| 2023 | $5.1K | $855.05 | 6.01x | $4.3K | $1.6M | 3.9K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 342 | $2.8M | $8.0K | 4.93x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 268 | $2.3M | $8.6K | 4.10x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 157 | $2.0M | $12.4K | 3.99x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 578 | $696.3K | $1.2K | 11.89x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 501 | $538.4K | $1.1K | 3.48x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 157 | $228.5K | $1.5K | 10.90x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 6.3K | $200.1K | $31.73 | 9.46x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $197.1K | $97.92 | 2.35x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.4K | $146.4K | $62.08 | 4.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $125.2K | $68.93 | 3.12x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $110.5K | $93.21 | 3.22x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 542 | $92.7K | $170.96 | 2.63x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 637 | $87.6K | $137.45 | 5.67x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 124 | $77.4K | $624.44 | 4.56x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 55 | $76.4K | $1.4K | 10.95x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.9K | $75.5K | $25.81 | 8.97x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.0K | $72.0K | $35.31 | 9.71x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 336 | $57.2K | $170.25 | 4.90x |
| 35301 | Removal of blood clot and portion of artery of neck | 53 | $52.3K | $987.41 | 9.20x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 37 | $48.3K | $1.3K | 2.78x |
This provider submits charges 5.3 times higher than what Medicare actually pays.
A markup ratio of 5.3x means for every $100 Medicare pays, this provider initially charges $530. 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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