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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Frederick Shuler
๐Ÿ”ช
MDIndividual

Frederick Shuler, M.D.

NPI: 1215919220
Panama City, FL
10 years of data
Vascular Surgery
$10.9M
Total Payments
33.4K
Beneficiaries
46.3K
Services
3.52x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.9M
Specialty median$184.1K

๐Ÿ“‹ Key Findings

1Billed $10.9M over 10 years
23.52x markup ratio (above median)
399th percentile in Vascular Surgery by payments
414 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $10.9M in total Medicare payments ranks in the 99th percentile of Vascular Surgery providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$986.56$332.102.97x$654.46$1.3M4.2K3.3K
2015$635.45$202.803.13x$432.65$1.3M4.9K3.8K
2016$530.47$185.072.87x$345.40$1.2M4.7K3.7K
2017$525.10$191.102.75x$334.00$1.5M6.4K4.5K
2018$615.61$233.592.64x$382.02$1.2M4.1K3.0K
2019$646.94$240.462.69x$406.48$1.3M4.6K3.2K
2020$959.29$183.735.22x$775.56$823.5K4.5K3.0K
2021$874.23$171.195.11x$703.04$787.6K4.4K2.9K
2022$1.1K$223.304.99x$891.27$741.0K4.5K3.1K
2023$1.1K$221.335.18x$925.94$740.5K4.1K2.8K

Top Procedures (20)

36475Destruction of insufficient vein of arm or leg, accessed through the skinโš  3.6x markup
$5.2M
4.4K services$1.2K/svc3.57x markup
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance
$987.1K
638 services$1.5K/svc2.76x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuversโš  4.0x markup
$736.8K
8.3K services$88.49/svc3.99x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  3.1x markup
$727.2K
5.2K services$139.09/svc3.06x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neckโš  3.8x markup
$530.4K
3.7K services$143.05/svc3.78x markup
36471Injection of chemical agent into multiple veins of same legโš  3.3x markup
$390.3K
2.7K services$143.70/svc3.34x markup
93978Ultrasound scan of vena cava or groin graft or vessel blood flowโš  3.9x markup
$320.2K
2.3K services$141.29/svc3.88x markup
93924Ultrasound study of arteries of both legs at rest and exerciseโš  4.0x markup
$290.8K
2.4K services$120.66/svc3.95x markup
93925Ultrasound study of arteries and arterial grafts of both legsโš  3.5x markup
$264.9K
1.5K services$177.04/svc3.53x markup
76970Ultrasound follow-up study
$209.0K
3.2K services$65.72/svc2.95x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$191.1K
2.2K services$86.99/svc3.00x markup
37241Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance
$187.1K
59 services$3.2K/svc2.81x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$156.0K
2.6K services$60.35/svc2.94x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needleโš  9.9x markup
$110.3K
2.4K services$46.11/svc9.94x markup
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflowโš  4.0x markup
$92.7K
462 services$200.61/svc4.00x markup
93926Ultrasound study of arteries and arterial grafts of one leg or limitedโš  3.8x markup
$91.9K
900 services$102.07/svc3.78x markup
37766Multiple incisions for removal of varicose veins of arm or legโš  3.0x markup
$89.0K
155 services$573.98/svc3.01x markup
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin
$69.2K
279 services$248.18/svc2.71x markup
93882Ultrasound scanning of blood flow (outside of brain) on one side of head and neck or limitedโš  4.1x markup
$66.3K
732 services$90.53/svc4.07x markup
93922Ultrasound study of arteries of both arms and legsโš  3.1x markup
$63.9K
1.0K services$62.96/svc3.07x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36475Destruction of insufficient vein of arm or leg, accessed through the skin4.4K$5.2M$1.2K3.57x
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance638$987.1K$1.5K2.76x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers8.3K$736.8K$88.493.99x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers5.2K$727.2K$139.093.06x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck3.7K$530.4K$143.053.78x
36471Injection of chemical agent into multiple veins of same leg2.7K$390.3K$143.703.34x
93978Ultrasound scan of vena cava or groin graft or vessel blood flow2.3K$320.2K$141.293.88x
93924Ultrasound study of arteries of both legs at rest and exercise2.4K$290.8K$120.663.95x
93925Ultrasound study of arteries and arterial grafts of both legs1.5K$264.9K$177.043.53x
76970Ultrasound follow-up study3.2K$209.0K$65.722.95x
99214Established patient office or other outpatient, visit typically 25 minutes2.2K$191.1K$86.993.00x
37241Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance59$187.1K$3.2K2.81x
99213Established patient office or other outpatient visit, typically 15 minutes2.6K$156.0K$60.352.94x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2.4K$110.3K$46.119.94x
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow462$92.7K$200.614.00x
93926Ultrasound study of arteries and arterial grafts of one leg or limited900$91.9K$102.073.78x
37766Multiple incisions for removal of varicose veins of arm or leg155$89.0K$573.983.01x
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin279$69.2K$248.182.71x
93882Ultrasound scanning of blood flow (outside of brain) on one side of head and neck or limited732$66.3K$90.534.07x
93922Ultrasound study of arteries of both arms and legs1.0K$63.9K$62.963.07x

Markup Analysis

Charge-to-Payment Ratio

3.52x

This provider submits charges 3.52 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.52x means for every $100 Medicare pays, this provider initially charges $352. This is higher than the national average.

Location

Panama City, FL

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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