This provider's $24.6M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.
Their average markup ratio of 5.17x is significantly above the specialty median of 5.1x.
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 | $6.0K | $1.2K | 5.13x | $4.8K | $2.2M | 3.0K | 2.5K |
| 2015 | $7.2K | $1.3K | 5.34x | $5.8K | $2.4M | 3.0K | 2.4K |
| 2016 | $6.0K | $1.1K | 5.26x | $4.9K | $2.8M | 4.2K | 3.2K |
| 2017 | $8.0K | $1.5K | 5.28x | $6.5K | $3.1M | 2.8K | 2.2K |
| 2018 | $10.1K | $2.0K | 5.06x | $8.1K | $3.4M | 2.5K | 2.0K |
| 2019 | $11.2K | $2.2K | 5.04x | $9.0K | $3.5M | 2.4K | 1.8K |
| 2020 | $5.6K | $1.1K | 5.01x | $4.5K | $2.1M | 2.5K | 1.9K |
| 2021 | $4.8K | $945.95 | 5.07x | $3.9K | $2.1M | 3.4K | 2.7K |
| 2022 | $4.6K | $924.13 | 5.02x | $3.7K | $1.5M | 2.7K | 2.1K |
| 2023 | $6.4K | $1.3K | 4.86x | $5.0K | $1.6M | 2.6K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 1.0K | $7.4M | $7.1K | 5.54x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 967 | $7.4M | $7.6K | 5.18x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 347 | $4.1M | $11.8K | 4.48x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 101 | $1.0M | $10.1K | 4.99x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 482 | $488.6K | $1.0K | 5.18x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 176 | $423.8K | $2.4K | 6.88x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.5K | $277.5K | $185.48 | 4.53x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 305 | $276.0K | $904.80 | 4.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.1K | $267.5K | $65.22 | 4.57x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.0K | $259.4K | $87.68 | 4.48x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.5K | $215.4K | $147.32 | 4.73x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 229 | $212.4K | $927.60 | 4.49x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 217 | $201.0K | $926.25 | 4.50x |
| 36147 | Insertion of needle and/or catheter for dialysis | 539 | $199.4K | $369.94 | 7.91x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 54 | $178.8K | $3.3K | 4.62x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 168 | $166.8K | $992.72 | 4.66x |
| 0238T | Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation | 21 | $153.4K | $7.3K | 4.54x |
| 37243 | Occlusion of growths or obstructed vessels with review by radiologist | 21 | $146.2K | $7.0K | 4.46x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 799 | $103.2K | $129.19 | 4.70x |
| 37197 | Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation | 148 | $92.4K | $624.30 | 8.86x |
This provider submits charges 5.17 times higher than what Medicare actually pays.
A markup ratio of 5.17x means for every $100 Medicare pays, this provider initially charges $517. 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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