This provider's $3.8M 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 | $1.5K | $432.46 | 3.39x | $1.0K | $354.6K | 1.0K | 1.0K |
| 2015 | $1.6K | $363.47 | 4.39x | $1.2K | $402.0K | 1.2K | 1.1K |
| 2016 | $2.0K | $531.50 | 3.78x | $1.5K | $468.4K | 1.2K | 1.1K |
| 2017 | $1.7K | $396.15 | 4.27x | $1.3K | $437.2K | 1.2K | 1.2K |
| 2018 | $1.8K | $484.78 | 3.76x | $1.3K | $487.2K | 1.3K | 1.3K |
| 2019 | $1.7K | $538.60 | 3.24x | $1.2K | $452.4K | 1.1K | 1.0K |
| 2020 | $1.6K | $543.97 | 3.00x | $1.1K | $256.0K | 641 | 625 |
| 2021 | $1.3K | $459.39 | 2.90x | $875.00 | $255.7K | 616 | 606 |
| 2022 | $1.5K | $490.18 | 3.10x | $1.0K | $322.4K | 774 | 760 |
| 2023 | $1.8K | $615.18 | 2.96x | $1.2K | $340.2K | 692 | 687 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33533 | Heart artery bypass to repair one artery | 1.3K | $1.2M | $960.10 | 3.60x |
| 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 437 | $485.7K | $1.1K | 3.73x |
| 35301 | Removal of blood clot and portion of artery of neck | 529 | $427.4K | $808.00 | 2.41x |
| 33430 | Replacement of valve between left upper and lower chambers on heart-lung machine | 183 | $288.2K | $1.6K | 3.18x |
| 33519 | Combined multiple vein and artery heart artery bypasses | 616 | $196.3K | $318.67 | 2.92x |
| 33426 | Insertion of artificial valve between left heart chambers on heart-lung machine | 107 | $160.4K | $1.5K | 2.97x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 226 | $128.5K | $568.42 | 4.40x |
| 33518 | Combined multiple vein and artery heart artery bypasses | 519 | $105.9K | $204.11 | 3.45x |
| 33512 | Heart artery bypass to repair multiple arteries | 95 | $95.5K | $1.0K | 4.25x |
| 33257 | Destruction and reconstruction of right upper heart | 229 | $84.2K | $367.75 | 2.80x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $80.5K | $61.23 | 2.25x |
| 33534 | Heart artery bypass to repair multiple arteries | 153 | $74.8K | $489.16 | 8.45x |
| 33860 | Placement of graft to aorta on heart-lung machine | 35 | $65.8K | $1.9K | 2.95x |
| 33511 | Heart artery bypass to repair multiple arteries | 75 | $48.0K | $639.41 | 6.20x |
| 33530 | Reoperation of heart artery bypass or valve procedure more than 1 month after original operation | 163 | $37.5K | $229.92 | 4.14x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 935 | $34.9K | $37.29 | 2.46x |
| 33521 | Combined multiple vein and artery heart artery bypasses | 98 | $34.8K | $354.75 | 3.21x |
| 35820 | Exploration of chest for postsurgical bleeding, blood clot, or infection | 24 | $27.5K | $1.1K | 2.82x |
| 33411 | Replacement and enlargement of left lower heart valve | 11 | $27.3K | $2.5K | 2.49x |
| 35656 | Bypass of diseased or blocked artery (upper leg to lower thigh artery) | 32 | $24.4K | $762.22 | 2.67x |
This provider submits charges 3.48 times higher than what Medicare actually pays.
A markup ratio of 3.48x means for every $100 Medicare pays, this provider initially charges $348. 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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