This provider's $3.6M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 18524% from 2014 to 2023.
61% of their billing comes from a single procedure code (36482 — Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 8990% 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 | $231.25 | $51.31 | 4.51x | $179.94 | $4.7K | 96 | 77 |
| 2015 | $269.00 | $65.76 | 4.09x | $203.24 | $2.8K | 43 | 42 |
| 2016 | $435.00 | $102.14 | 4.26x | $332.86 | $3.8K | 37 | 36 |
| 2017 | $505.00 | $116.41 | 4.34x | $388.59 | $4.5K | 39 | 39 |
| 2018 | $334.40 | $79.35 | 4.21x | $255.05 | $9.2K | 106 | 88 |
| 2019 | $495.04 | $141.53 | 3.50x | $353.51 | $7.2K | 56 | 56 |
| 2020 | $1.1K | $433.33 | 2.62x | $702.93 | $655.1K | 1.5K | 641 |
| 2021 | $923.02 | $342.15 | 2.70x | $580.87 | $1.1M | 2.5K | 1.1K |
| 2022 | $932.98 | $315.00 | 2.96x | $617.98 | $910.3K | 2.4K | 1.2K |
| 2023 | $720.45 | $269.09 | 2.68x | $451.36 | $873.5K | 2.5K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 1.6K | $2.2M | $1.4K | 2.79x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 598 | $657.2K | $1.1K | 2.72x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.2K | $172.4K | $145.03 | 2.65x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.7K | $159.4K | $93.85 | 2.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $138.8K | $66.41 | 2.34x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 46 | $61.4K | $1.3K | 2.50x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 489 | $55.7K | $113.90 | 3.18x |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 58 | $49.4K | $852.37 | 2.94x |
| 36470 | Injection of chemical agent into single incompetent vein | 217 | $19.1K | $88.02 | 2.47x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 393 | $15.4K | $39.29 | 2.90x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 253 | $11.4K | $45.13 | 3.75x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 118 | $9.2K | $78.28 | 3.61x |
| 99202 | New patient outpatient visit, total time 15-29 minutes | 181 | $8.3K | $45.88 | 3.24x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 49 | $8.0K | $163.42 | 3.96x |
| 93925 | Ultrasound of leg arteries or artery grafts | 26 | $4.6K | $178.60 | 2.70x |
| 36483 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 31 | $3.7K | $119.88 | 2.47x |
| 93978 | Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 25 | $3.3K | $132.22 | 2.73x |
| 93922 | Ultrasound study of arm and leg arteries | 66 | $3.2K | $48.88 | 3.34x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 35 | $2.8K | $79.97 | 4.03x |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 14 | $2.2K | $156.48 | 2.45x |
This provider submits charges 2.75 times higher than what Medicare actually pays.
A markup ratio of 2.75x means for every $100 Medicare pays, this provider initially charges $275. 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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