This provider's $3.4M in total Medicare payments ranks in the 98th percentile of Cardiac Surgery providers nationally.
Medicare payments to this provider grew 83% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 3165% in 2022
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 | $896.64 | $223.79 | 4.01x | $672.85 | $200.6K | 1.0K | 935 |
| 2015 | $1.2K | $307.21 | 3.89x | $888.13 | $237.0K | 1.0K | 945 |
| 2016 | $877.28 | $269.93 | 3.25x | $607.35 | $195.1K | 912 | 820 |
| 2017 | $1.2K | $382.15 | 3.07x | $792.16 | $222.1K | 846 | 723 |
| 2018 | $1.5K | $499.16 | 3.00x | $1.0K | $236.7K | 783 | 685 |
| 2019 | $1.4K | $413.53 | 3.27x | $940.02 | $206.0K | 635 | 601 |
| 2020 | $1.4K | $214.67 | 6.40x | $1.2K | $71.2K | 323 | 315 |
| 2021 | $1.6K | $167.83 | 9.54x | $1.4K | $48.1K | 245 | 242 |
| 2022 | $7.9K | $2.0K | 3.95x | $5.9K | $1.6M | 990 | 702 |
| 2023 | $7.4K | $1.8K | 4.14x | $5.6K | $367.3K | 300 | 255 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery of leg, initial vessel | 120 | $914.2K | $7.6K | 3.89x |
| 37225 | Removal of plaque in arteries of leg | 109 | $728.5K | $6.7K | 4.35x |
| 37227 | Removal of plaque and insertion of stents in arteries of leg | 22 | $216.2K | $9.8K | 3.69x |
| 37215 | Insertion of stents and blood clot protection device in neck artery, open or accessed through the skin | 254 | $187.6K | $738.42 | 2.70x |
| 33533 | Heart artery bypass to repair one artery | 133 | $174.7K | $1.3K | 3.26x |
| 35301 | Removal of blood clot and portion of artery of neck | 187 | $152.3K | $814.62 | 3.22x |
| 33511 | Heart artery bypass to repair multiple arteries | 94 | $139.3K | $1.5K | 3.20x |
| 33512 | Heart artery bypass to repair multiple arteries | 57 | $98.0K | $1.7K | 3.09x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 757 | $87.1K | $115.04 | 2.27x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 421 | $62.0K | $147.37 | 2.14x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 311 | $44.1K | $141.66 | 2.24x |
| 37226 | Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 129 | $42.8K | $331.80 | 8.74x |
| 34705 | Placement of graft for repair of aorta and groin arteries including radiological supervision and interpretation | 36 | $41.0K | $1.1K | 2.50x |
| 34802 | Repair of bulging (aneurysm) or tear in abdominal aorta | 44 | $40.6K | $922.81 | 3.28x |
| 32669 | Removal of a segment of lung tissue using an endoscope | 42 | $39.7K | $944.07 | 3.01x |
| 36222 | Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation | 146 | $27.3K | $186.82 | 3.88x |
| 33405 | Replacement of aortic valve using artificial valve on heart-lung machine, open procedure | 18 | $26.6K | $1.5K | 3.25x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 490 | $26.3K | $53.73 | 2.16x |
| 36225 | Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation | 132 | $25.6K | $193.83 | 4.05x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 75 | $23.5K | $313.88 | 7.15x |
This provider submits charges 3.76 times higher than what Medicare actually pays.
A markup ratio of 3.76x means for every $100 Medicare pays, this provider initially charges $376. 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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