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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. Reese Wain
๐Ÿ”ช
MDIndividual

Reese Wain, MD

NPI: 1265414791
Mineola, NY
10 years of data
Vascular Surgery
$3.8M
Total Payments
32.3K
Beneficiaries
37.3K
Services
6.43x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$3.8M
Specialty median$184.1K

๐Ÿ“‹ Key Findings

1Billed $3.8M over 10 years
26.43x markup ratio (above median)
398th percentile in Vascular Surgery by payments
420 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Vascular Surgery providers nationally.

Their average markup ratio of 6.43x is significantly above the specialty median of 4.0x.

Medicare payments to this provider grew 73% from 2014 to 2023.

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$387.88$116.053.34x$271.83$287.6K3.2K2.9K
2015$400.00$94.694.22x$305.31$298.8K3.3K3.0K
2016$406.66$133.953.04x$272.71$352.1K3.8K3.4K
2017$594.59$114.965.17x$479.63$362.6K3.8K3.4K
2018$893.20$126.757.05x$766.45$397.8K3.9K3.4K
2019$914.96$133.626.85x$781.34$433.2K4.3K3.6K
2020$921.38$97.669.43x$823.72$358.7K3.3K2.8K
2021$1.2K$138.078.42x$1.0K$421.5K3.7K3.1K
2022$1.6K$156.7010.32x$1.5K$424.4K3.7K3.1K
2023$1.2K$129.269.08x$1.0K$498.8K4.4K3.8K

Top Procedures (20)

93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neckโš  6.3x markup
$992.8K
9.4K services$105.93/svc6.35x markup
93923Ultrasound study of arteries of both arms and legsโš  8.3x markup
$427.6K
5.2K services$82.18/svc8.28x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuversโš  8.4x markup
$303.9K
2.9K services$103.06/svc8.37x markup
99214Established patient office or other outpatient, visit typically 25 minutesโš  4.0x markup
$289.7K
2.9K services$100.47/svc4.01x markup
99204New patient office or other outpatient visit, typically 45 minutesโš  4.0x markup
$239.5K
1.6K services$148.38/svc4.01x markup
93990Ultrasound of dialysis accessโš  6.6x markup
$235.2K
2.2K services$107.06/svc6.60x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  6.5x markup
$213.9K
2.5K services$85.40/svc6.45x markup
93926Ultrasound study of arteries and arterial grafts of one leg or limitedโš  8.6x markup
$176.0K
1.8K services$96.58/svc8.55x markup
35301Removal of blood clot and portion of artery of neckโš  8.8x markup
$149.5K
134 services$1.1K/svc8.85x markup
93925Ultrasound study of arteries and arterial grafts of both legsโš  7.5x markup
$125.2K
702 services$178.28/svc7.54x markup
93924Ultrasound study of arteries of both legs at rest and exerciseโš  3.8x markup
$112.4K
1.0K services$108.40/svc3.81x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  4.2x markup
$94.2K
1.3K services$73.32/svc4.21x markup
99203New patient office or other outpatient visit, typically 30 minutesโš  5.1x markup
$84.9K
837 services$101.45/svc5.09x markup
93978Ultrasound scan of vena cava or groin graft or vessel blood flowโš  7.1x markup
$83.0K
483 services$171.79/svc7.08x markup
99222Initial hospital inpatient care, typically 50 minutes per dayโš  3.2x markup
$63.1K
510 services$123.70/svc3.21x markup
99212Established patient office or other outpatient visit, typically 10 minutesโš  3.9x markup
$43.7K
1.0K services$43.67/svc3.93x markup
36830Connection of tube graft to vein and artery for dialysisโš  6.3x markup
$25.4K
37 services$687.19/svc6.28x markup
93922Ultrasound study of arteries of both arms and legsโš  4.7x markup
$24.8K
379 services$65.44/svc4.67x markup
93882Ultrasound scanning of blood flow (outside of brain) on one side of head and neck or limitedโš  4.1x markup
$22.7K
507 services$44.80/svc4.14x markup
G0365Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)โš  6.4x markup
$18.0K
306 services$58.79/svc6.37x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck9.4K$992.8K$105.936.35x
93923Ultrasound study of arteries of both arms and legs5.2K$427.6K$82.188.28x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2.9K$303.9K$103.068.37x
99214Established patient office or other outpatient, visit typically 25 minutes2.9K$289.7K$100.474.01x
99204New patient office or other outpatient visit, typically 45 minutes1.6K$239.5K$148.384.01x
93990Ultrasound of dialysis access2.2K$235.2K$107.066.60x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers2.5K$213.9K$85.406.45x
93926Ultrasound study of arteries and arterial grafts of one leg or limited1.8K$176.0K$96.588.55x
35301Removal of blood clot and portion of artery of neck134$149.5K$1.1K8.85x
93925Ultrasound study of arteries and arterial grafts of both legs702$125.2K$178.287.54x
93924Ultrasound study of arteries of both legs at rest and exercise1.0K$112.4K$108.403.81x
99213Established patient office or other outpatient visit, typically 15 minutes1.3K$94.2K$73.324.21x
99203New patient office or other outpatient visit, typically 30 minutes837$84.9K$101.455.09x
93978Ultrasound scan of vena cava or groin graft or vessel blood flow483$83.0K$171.797.08x
99222Initial hospital inpatient care, typically 50 minutes per day510$63.1K$123.703.21x
99212Established patient office or other outpatient visit, typically 10 minutes1.0K$43.7K$43.673.93x
36830Connection of tube graft to vein and artery for dialysis37$25.4K$687.196.28x
93922Ultrasound study of arteries of both arms and legs379$24.8K$65.444.67x
93882Ultrasound scanning of blood flow (outside of brain) on one side of head and neck or limited507$22.7K$44.804.14x
G0365Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)306$18.0K$58.796.37x

Markup Analysis

Charge-to-Payment Ratio

6.43x

This provider submits charges 6.43 times higher than what Medicare actually pays.

What This Means

A markup ratio of 6.43x means for every $100 Medicare pays, this provider initially charges $643. This is higher than the national average.

Location

Mineola, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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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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