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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Thomas Lackey
๐Ÿ”ช
D.Individual

Thomas Lackey, D. O.

NPI: 1114955598
Sebring, FL
10 years of data
General Surgery
$8.5M
Total Payments
17.4K
Beneficiaries
37.4K
Services
2.06x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$8.5M
Specialty median$42.2K

๐Ÿ“‹ Key Findings

1Billed $8.5M over 10 years
22.06x markup ratio (above median)
399th percentile in General Surgery by payments
41 procedure with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $8.5M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.

Medicare payments to this provider grew 74% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$386.26$149.682.58x$236.58$617.2K4.3K2.1K
2015$377.29$137.192.75x$240.10$672.9K4.7K2.1K
2016$446.55$159.912.79x$286.64$773.8K4.6K2.2K
2017$366.54$143.142.56x$223.40$644.1K3.9K2.0K
2018$487.26$223.842.18x$263.42$963.6K3.9K1.8K
2019$419.82$227.921.84x$191.90$967.4K3.3K1.5K
2020$512.40$267.731.91x$244.67$942.5K3.6K1.7K
2021$605.52$341.061.78x$264.46$847.2K2.6K1.3K
2022$709.84$320.282.22x$389.56$973.8K3.0K1.4K
2023$849.10$295.302.88x$553.80$1.1M3.5K1.5K

Top Procedures (20)

36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance
$2.4M
1.7K services$1.4K/svc1.71x markup
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin
$1.2M
1.3K services$870.71/svc2.14x markup
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance
$964.6K
1.1K services$881.71/svc2.25x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$823.1K
7.7K services$106.91/svc1.87x markup
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance
$496.0K
443 services$1.1K/svc2.06x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$421.5K
4.7K services$90.23/svc1.75x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$329.4K
2.4K services$136.44/svc2.95x markup
99205New patient office or other outpatient visit, typically 60 minutes
$240.3K
1.7K services$144.69/svc2.25x markup
76970Ultrasound follow-up study
$187.1K
2.8K services$66.09/svc1.86x markup
99309Subsequent nursing facility visit, typically 25 minutes per day
$178.6K
2.6K services$67.92/svc1.91x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
$159.7K
1.8K services$90.35/svc2.60x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$152.3K
861 services$176.90/svc2.34x markup
36471Injection of chemical agent into multiple veins of same leg
$135.8K
1.0K services$130.73/svc2.65x markup
99310Subsequent nursing facility visit, typically 35 minutes per day
$134.6K
1.3K services$102.30/svc1.88x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$93.0K
643 services$144.60/svc2.97x markup
47562Removal of gallbladder using an endoscope
$71.6K
137 services$522.50/svc2.21x markup
36479Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin
$71.0K
278 services$255.57/svc2.23x markup
99233Subsequent hospital inpatient care, typically 35 minutes per dayโš  3.2x markup
$61.7K
778 services$79.31/svc3.19x markup
99204New patient office or other outpatient visit, typically 45 minutes
$58.1K
492 services$118.02/svc2.02x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$42.6K
759 services$56.18/svc2.05x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance1.7K$2.4M$1.4K1.71x
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin1.3K$1.2M$870.712.14x
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance1.1K$964.6K$881.712.25x
99215Established patient office or other outpatient, visit typically 40 minutes7.7K$823.1K$106.911.87x
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance443$496.0K$1.1K2.06x
99214Established patient office or other outpatient, visit typically 25 minutes4.7K$421.5K$90.231.75x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers2.4K$329.4K$136.442.95x
99205New patient office or other outpatient visit, typically 60 minutes1.7K$240.3K$144.692.25x
76970Ultrasound follow-up study2.8K$187.1K$66.091.86x
99309Subsequent nursing facility visit, typically 25 minutes per day2.6K$178.6K$67.921.91x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1.8K$159.7K$90.352.60x
93925Ultrasound study of arteries and arterial grafts of both legs861$152.3K$176.902.34x
36471Injection of chemical agent into multiple veins of same leg1.0K$135.8K$130.732.65x
99310Subsequent nursing facility visit, typically 35 minutes per day1.3K$134.6K$102.301.88x
99223Initial hospital inpatient care, typically 70 minutes per day643$93.0K$144.602.97x
47562Removal of gallbladder using an endoscope137$71.6K$522.502.21x
36479Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin278$71.0K$255.572.23x
99233Subsequent hospital inpatient care, typically 35 minutes per day778$61.7K$79.313.19x
99204New patient office or other outpatient visit, typically 45 minutes492$58.1K$118.022.02x
99213Established patient office or other outpatient visit, typically 15 minutes759$42.6K$56.182.05x

Markup Analysis

Charge-to-Payment Ratio

2.06x

This provider submits charges 2.06 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. This is higher than the national average.

Location

Sebring, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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