This provider's $21.8M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 255% in 2015
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 | $4.2K | $1.4K | 2.90x | $2.7K | $947.8K | 774 | 582 |
| 2015 | $4.3K | $1.4K | 3.15x | $2.9K | $3.4M | 2.4K | 1.5K |
| 2016 | $3.4K | $1.0K | 3.25x | $2.3K | $3.1M | 2.8K | 2.1K |
| 2017 | $2.8K | $929.43 | 3.01x | $1.9K | $2.7M | 2.6K | 2.1K |
| 2018 | $2.7K | $925.99 | 2.93x | $1.8K | $3.2M | 3.1K | 2.4K |
| 2019 | $2.8K | $857.51 | 3.28x | $2.0K | $2.6M | 2.5K | 1.9K |
| 2020 | $3.7K | $1.2K | 3.19x | $2.5K | $1.9M | 1.3K | 973 |
| 2021 | $2.6K | $1.0K | 2.50x | $1.5K | $1.7M | 1.2K | 815 |
| 2022 | $2.3K | $950.70 | 2.43x | $1.4K | $1.1M | 1.1K | 795 |
| 2023 | $2.4K | $861.10 | 2.82x | $1.6K | $1.2M | 1.2K | 882 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 1.6K | $9.2M | $5.6K | 3.36x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 947 | $5.7M | $6.0K | 3.17x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 501 | $4.8M | $9.7K | 2.57x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 990 | $945.6K | $955.20 | 2.50x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.4K | $237.9K | $172.67 | 2.56x |
| 37224 | Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure | 161 | $212.1K | $1.3K | 4.94x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 89 | $113.7K | $1.3K | 5.01x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 40 | $110.2K | $2.8K | 3.63x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 665 | $72.9K | $109.68 | 2.72x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 73 | $62.0K | $849.42 | 2.61x |
| 75630 | Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries | 486 | $58.5K | $120.32 | 2.65x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment, initial vessel | 65 | $49.5K | $762.08 | 2.10x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 326 | $42.6K | $130.59 | 2.67x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 353 | $25.9K | $73.41 | 2.61x |
| 93922 | Ultrasound study of arteries of both arms and legs | 420 | $23.1K | $54.99 | 2.79x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 130 | $16.3K | $125.64 | 2.57x |
| 36200 | Insertion of catheter into aorta | 29 | $12.5K | $432.27 | 2.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 192 | $10.9K | $56.78 | 2.47x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 85 | $10.4K | $122.04 | 2.63x |
| 80047 | Blood test, basic group of blood chemicals | 927 | $9.5K | $10.26 | 2.85x |
This provider submits charges 3.1 times higher than what Medicare actually pays.
A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. 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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