This provider's $3.9M in total Medicare payments ranks in the 98th percentile of Interventional Radiology providers nationally.
Medicare payments to this provider grew 1284% from 2014 to 2023.
61% of their billing comes from a single procedure code (37243 — Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 753% in 2019
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 | $457.20 | $107.10 | 4.27x | $350.10 | $73.1K | 487 | 382 |
| 2015 | $544.47 | $136.76 | 3.98x | $407.71 | $71.0K | 438 | 342 |
| 2016 | $479.31 | $124.45 | 3.85x | $354.86 | $62.2K | 390 | 286 |
| 2017 | $513.08 | $119.99 | 4.28x | $393.09 | $55.2K | 479 | 416 |
| 2018 | $2.3K | $136.51 | 16.93x | $2.2K | $41.4K | 317 | 277 |
| 2019 | $3.3K | $690.89 | 4.73x | $2.6K | $353.3K | 499 | 460 |
| 2020 | $4.3K | $1.1K | 4.02x | $3.2K | $540.7K | 605 | 510 |
| 2021 | $3.3K | $1.3K | 2.64x | $2.1K | $772.9K | 721 | 649 |
| 2022 | $3.6K | $807.78 | 4.40x | $2.7K | $912.9K | 1.1K | 938 |
| 2023 | $4.2K | $1.4K | 3.09x | $2.9K | $1.0M | 1.0K | 951 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37243 | Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance | 627 | $2.3M | $3.7K | 4.22x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 49 | $454.7K | $9.3K | 3.52x |
| Q3001 | Radioelements for brachytherapy, any type, each | 24 | $335.8K | $14.0K | 1.43x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 621 | $232.8K | $374.96 | 7.76x |
| 37242 | Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance | 67 | $199.2K | $3.0K | 4.84x |
| 36245 | Insertion of catheter into abdominal pelvic or leg artery | 203 | $57.8K | $284.67 | 7.47x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 75 | $38.6K | $514.35 | 3.84x |
| 36248 | Insertion of catheter into each additional abdominal, pelvic or leg artery | 481 | $34.0K | $70.77 | 4.19x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 598 | $20.2K | $33.71 | 4.58x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 20 | $19.4K | $969.40 | 4.05x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 154 | $19.3K | $125.47 | 4.25x |
| 76937 | Ultrasound guidance for accessing into blood vessel | 620 | $15.6K | $25.10 | 4.28x |
| 75726 | Radiological supervision and interpretation of imaging of abdominal artery | 185 | $15.0K | $81.02 | 4.09x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 204 | $13.6K | $66.84 | 3.44x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 131 | $10.8K | $82.44 | 3.99x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 65 | $10.2K | $157.12 | 3.24x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 175 | $10.1K | $57.82 | 2.95x |
| 75625 | Radiological supervision and interpretation x-ray of abdominal aorta | 89 | $9.7K | $109.05 | 3.94x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 34 | $7.2K | $213.10 | 3.93x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 79 | $7.1K | $89.75 | 2.53x |
This provider submits charges 4.2 times higher than what Medicare actually pays.
A markup ratio of 4.2x means for every $100 Medicare pays, this provider initially charges $420. 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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