This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Cardiac 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 | $1.2K | $749.80 | 1.62x | $467.22 | $633.1K | 1.2K | 1.2K |
| 2015 | $1.1K | $715.96 | 1.49x | $349.23 | $535.5K | 1.0K | 1.0K |
| 2016 | $1.1K | $629.63 | 1.69x | $437.35 | $494.9K | 1.0K | 1.0K |
| 2017 | $979.57 | $745.17 | 1.31x | $234.40 | $464.3K | 853 | 839 |
| 2018 | $764.69 | $480.21 | 1.59x | $284.48 | $290.5K | 693 | 686 |
| 2019 | $899.62 | $551.71 | 1.63x | $347.91 | $265.8K | 610 | 599 |
| 2020 | $2.1K | $630.99 | 3.37x | $1.5K | $221.5K | 416 | 406 |
| 2021 | $2.5K | $690.19 | 3.66x | $1.8K | $242.2K | 436 | 421 |
| 2022 | $1.9K | $481.95 | 4.02x | $1.5K | $213.6K | 416 | 408 |
| 2023 | $3.2K | $800.81 | 4.05x | $2.4K | $283.2K | 454 | 454 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33533 | Heart artery bypass to repair one artery | 847 | $1.4M | $1.6K | 2.22x |
| 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 347 | $655.3K | $1.9K | 2.14x |
| 33430 | Replacement of valve between left upper and lower chambers on heart-lung machine | 116 | $296.8K | $2.6K | 2.07x |
| 33415 | Incision or removal of tissue below left lower heart valve | 261 | $271.3K | $1.0K | 2.19x |
| 33417 | Repair of aorta at heart | 265 | $227.1K | $857.06 | 2.27x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.1K | $175.2K | $161.51 | 1.46x |
| 33518 | Combined multiple vein and artery heart artery bypasses | 400 | $150.8K | $377.08 | 2.00x |
| 33519 | Combined multiple vein and artery heart artery bypasses | 233 | $117.3K | $503.23 | 2.10x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 616 | $106.1K | $172.17 | 1.91x |
| 33427 | Repair of valve flaps between left heart chambers on heart-lung machine | 44 | $88.2K | $2.0K | 1.39x |
| 33530 | Reoperation of heart artery bypass or valve procedure more than 1 month after original operation | 53 | $24.3K | $457.90 | 2.27x |
| 33464 | Repair of heart valve between right chambers with insertion of prosthetic valve ring | 14 | $24.0K | $1.7K | 1.53x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 503 | $23.2K | $46.21 | 2.17x |
| 33517 | Combined vein and artery heart artery bypass | 125 | $21.8K | $174.71 | 2.17x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 166 | $20.4K | $122.69 | 3.72x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 308 | $18.8K | $60.98 | 1.77x |
| 33508 | Harvest of veins for coronary artery bypass procedure using an endoscope | 805 | $12.3K | $15.33 | 2.82x |
| 51702 | Insertion of indwelling bladder catheter | 882 | $12.2K | $13.81 | 2.65x |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 16 | $12.0K | $747.27 | 5.96x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 49 | $5.5K | $113.17 | 2.93x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data