This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Medicare payments to this provider grew 267% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% in 2020
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 | $1.5K | $288.71 | 5.25x | $1.2K | $211.7K | 1.6K | 1.3K |
| 2015 | $1.5K | $297.70 | 5.13x | $1.2K | $272.7K | 1.8K | 1.4K |
| 2016 | $1.1K | $207.21 | 5.31x | $893.28 | $209.8K | 1.7K | 1.3K |
| 2017 | $1.2K | $232.85 | 5.27x | $994.04 | $182.9K | 1.5K | 1.2K |
| 2018 | $1.7K | $250.29 | 6.76x | $1.4K | $194.7K | 1.5K | 1.1K |
| 2019 | $887.59 | $173.57 | 5.11x | $714.02 | $216.9K | 2.4K | 1.5K |
| 2020 | $964.52 | $174.70 | 5.52x | $789.82 | $385.0K | 6.2K | 2.0K |
| 2021 | $1.0K | $177.54 | 5.88x | $866.08 | $503.8K | 7.0K | 2.5K |
| 2022 | $716.27 | $131.48 | 5.45x | $584.79 | $662.1K | 10.6K | 2.9K |
| 2023 | $543.61 | $130.69 | 4.16x | $412.92 | $777.3K | 12.5K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.2K | $459.6K | $88.58 | 1.69x |
| 33533 | Heart artery bypass to repair one artery | 281 | $395.7K | $1.4K | 4.61x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.3K | $288.0K | $123.76 | 3.57x |
| 96521 | Refilling and maintenance of portable pump | 3.0K | $278.3K | $93.82 | 1.92x |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 2.1K | $198.8K | $96.60 | 1.55x |
| 99457 | Remote monitoring of physiologic parameters management services, 20 minutes or more of qualified health care professional time per calendar month | 5.0K | $181.8K | $36.49 | 1.51x |
| 35301 | Removal of blood clot and portion of artery of neck | 159 | $143.6K | $903.16 | 4.21x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.4K | $142.7K | $58.85 | 1.61x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.9K | $139.1K | $47.49 | 1.68x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 772 | $117.8K | $152.57 | 1.90x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 3.8K | $115.9K | $30.84 | 1.62x |
| 93922 | Ultrasound study of arteries of both arms and legs | 2.1K | $113.9K | $53.81 | 4.57x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.7K | $103.5K | $38.95 | 1.67x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 186 | $80.8K | $434.58 | 16.86x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.4K | $80.0K | $55.88 | 1.97x |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 1.4K | $74.3K | $51.95 | 1.73x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 594 | $70.9K | $119.42 | 3.28x |
| 93882 | Ultrasound scanning of blood flow (outside of brain) on one side of head and neck or limited | 611 | $50.0K | $81.88 | 3.26x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 2.9K | $44.6K | $15.27 | 1.64x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 552 | $44.4K | $80.41 | 2.24x |
This provider submits charges 3.13 times higher than what Medicare actually pays.
A markup ratio of 3.13x means for every $100 Medicare pays, this provider initially charges $313. 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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