This provider's $7.4M in total Medicare payments ranks in the 99th percentile of General 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $2.0K | $614.29 | 3.26x | $1.4K | $1.3M | 3.9K | 3.2K |
| 2015 | $2.6K | $748.02 | 3.50x | $1.9K | $969.8K | 3.6K | 3.0K |
| 2016 | $1.8K | $518.09 | 3.57x | $1.3K | $709.1K | 3.6K | 3.1K |
| 2017 | $1.7K | $508.64 | 3.34x | $1.2K | $633.3K | 3.8K | 3.3K |
| 2018 | $1.3K | $501.58 | 2.54x | $770.68 | $693.6K | 3.9K | 3.3K |
| 2019 | $1.2K | $538.84 | 2.25x | $672.50 | $758.5K | 3.8K | 3.1K |
| 2020 | $1.2K | $540.33 | 2.30x | $703.75 | $702.9K | 3.3K | 2.9K |
| 2021 | $1.8K | $712.17 | 2.52x | $1.1K | $704.7K | 3.1K | 2.7K |
| 2022 | $1.3K | $472.41 | 2.73x | $818.28 | $627.5K | 3.0K | 2.5K |
| 2023 | $616.87 | $172.61 | 3.57x | $444.26 | $295.4K | 2.5K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 283 | $2.9M | $10.4K | 2.56x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.9K | $485.6K | $169.08 | 3.15x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.8K | $479.7K | $125.62 | 3.50x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 463 | $363.6K | $785.27 | 2.30x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 314 | $327.3K | $1.0K | 3.78x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 2.2K | $264.0K | $120.43 | 4.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.9K | $216.2K | $55.64 | 3.09x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 28 | $210.8K | $7.5K | 3.09x |
| 93922 | Ultrasound study of arteries of both arms and legs | 4.5K | $208.5K | $46.52 | 4.36x |
| 35301 | Removal of blood clot and portion of artery of neck | 247 | $207.0K | $837.96 | 3.44x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $171.7K | $114.59 | 3.38x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.1K | $167.2K | $79.07 | 3.34x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.2K | $152.0K | $126.48 | 3.44x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $97.8K | $81.00 | 3.11x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $97.7K | $75.82 | 3.33x |
| 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 996 | $92.7K | $93.05 | 3.50x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 95 | $89.9K | $946.35 | 2.70x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 32 | $83.9K | $2.6K | 3.71x |
| 37184 | Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin | 74 | $62.3K | $841.24 | 5.39x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 518 | $51.9K | $100.24 | 5.61x |
This provider submits charges 3.08 times higher than what Medicare actually pays.
A markup ratio of 3.08x means for every $100 Medicare pays, this provider initially charges $308. 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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