This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $963.94 | $270.72 | 3.56x | $693.22 | $572.1K | 4.2K | 3.4K |
| 2015 | $836.79 | $250.76 | 3.34x | $586.03 | $493.1K | 3.6K | 3.0K |
| 2016 | $971.04 | $254.87 | 3.81x | $716.17 | $455.5K | 3.5K | 2.9K |
| 2017 | $893.49 | $240.57 | 3.71x | $652.92 | $405.1K | 2.9K | 2.4K |
| 2018 | $964.48 | $265.36 | 3.63x | $699.12 | $419.3K | 3.0K | 2.5K |
| 2019 | $1.2K | $470.48 | 2.63x | $765.33 | $508.2K | 2.8K | 2.3K |
| 2020 | $1.6K | $667.81 | 2.42x | $946.21 | $550.5K | 2.3K | 1.9K |
| 2021 | $1.8K | $779.55 | 2.32x | $1.0K | $743.8K | 2.1K | 1.7K |
| 2022 | $1.6K | $626.57 | 2.48x | $924.37 | $339.7K | 1.4K | 1.2K |
| 2023 | $1.8K | $691.08 | 2.59x | $1.1K | $418.2K | 1.5K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 80 | $763.4K | $9.5K | 1.94x |
| 33533 | Heart artery bypass to repair one artery | 298 | $381.8K | $1.3K | 5.39x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.5K | $356.4K | $145.25 | 1.57x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 73 | $290.4K | $4.0K | 2.48x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 51 | $285.0K | $5.6K | 2.48x |
| 36830 | Connection of tube graft to vein and artery for dialysis | 568 | $266.0K | $468.31 | 3.48x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $247.3K | $115.07 | 1.59x |
| 35301 | Removal of blood clot and portion of artery of neck | 284 | $232.8K | $819.73 | 4.16x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.8K | $195.7K | $50.96 | 1.73x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 183 | $141.8K | $775.03 | 2.08x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $128.4K | $78.19 | 1.58x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 4.3K | $125.3K | $29.05 | 1.89x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 98 | $105.2K | $1.1K | 2.05x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 567 | $92.0K | $162.20 | 1.92x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 697 | $91.4K | $131.17 | 2.01x |
| 36821 | Relocation of arm vein with connection to arm artery, open procedure | 157 | $73.8K | $470.37 | 3.93x |
| 76770 | Ultrasound behind abdominal cavity | 760 | $59.9K | $78.88 | 2.32x |
| 34804 | Repair of bulging (aneurysm) or tear in abdominal aorta | 62 | $56.4K | $910.36 | 2.64x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 437 | $53.9K | $123.45 | 2.84x |
| 93922 | Ultrasound study of arteries of both arms and legs | 888 | $53.4K | $60.10 | 2.38x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. 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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