This provider's $3.2M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Their average markup ratio of 5.49x is significantly above the specialty median of 4.7x.
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 | $4.5K | $872.28 | 5.11x | $3.6K | $436.8K | 478 | 450 |
| 2015 | $4.8K | $921.31 | 5.22x | $3.9K | $479.2K | 527 | 499 |
| 2016 | $6.4K | $1.1K | 5.63x | $5.3K | $458.4K | 449 | 446 |
| 2017 | $6.5K | $1.3K | 4.91x | $5.1K | $293.9K | 269 | 269 |
| 2018 | $5.7K | $1.1K | 5.20x | $4.6K | $259.2K | 269 | 269 |
| 2019 | $5.2K | $1.0K | 5.11x | $4.2K | $264.0K | 301 | 301 |
| 2020 | $6.3K | $1.3K | 4.98x | $5.0K | $247.0K | 270 | 270 |
| 2021 | $5.2K | $999.94 | 5.23x | $4.2K | $367.3K | 414 | 411 |
| 2022 | $4.5K | $828.77 | 5.44x | $3.7K | $247.6K | 375 | 375 |
| 2023 | $3.1K | $540.05 | 5.76x | $2.6K | $190.8K | 325 | 325 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33533 | Heart artery bypass to repair one artery | 821 | $1.3M | $1.5K | 5.99x |
| 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 373 | $690.2K | $1.9K | 5.35x |
| 33430 | Replacement of valve between left upper and lower chambers on heart-lung machine | 185 | $465.6K | $2.5K | 4.31x |
| 33863 | Placement of graft to aorta on heart-lung machine | 75 | $211.1K | $2.8K | 4.17x |
| 33979 | Insertion of lower heart chamber blood flow assist device | 89 | $148.0K | $1.7K | 5.78x |
| 33518 | Combined multiple vein and artery heart artery bypasses | 378 | $141.7K | $374.81 | 5.27x |
| 33519 | Combined multiple vein and artery heart artery bypasses | 242 | $120.7K | $498.71 | 6.02x |
| 33530 | Reoperation of heart artery bypass or valve procedure more than 1 month after original operation | 175 | $85.1K | $486.23 | 6.68x |
| 33517 | Combined vein and artery heart artery bypass | 151 | $26.0K | $172.41 | 8.33x |
| 33426 | Insertion of artificial valve between left heart chambers on heart-lung machine | 11 | $22.6K | $2.1K | 4.82x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 128 | $22.4K | $174.78 | 3.25x |
| 33508 | Harvest of veins for coronary artery bypass procedure using an endoscope | 859 | $12.6K | $14.69 | 11.22x |
| 33510 | Heart artery bypass to repair one artery | 12 | $10.2K | $853.05 | 10.55x |
| 33257 | Destruction and reconstruction of right upper heart | 11 | $6.0K | $546.63 | 5.56x |
| 34716 | Exposure of underarm or upper chest artery with creation of conduit | 12 | $3.9K | $327.77 | 3.66x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 93 | $3.1K | $33.09 | 2.72x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 35 | $1.6K | $44.74 | 5.03x |
| 33268 | Exclusion of appendage of left upper chamber of heart performed during other procedure on chest | 13 | $1.4K | $110.96 | 3.42x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 14 | $1.3K | $89.70 | 3.27x |
This provider submits charges 5.49 times higher than what Medicare actually pays.
A markup ratio of 5.49x means for every $100 Medicare pays, this provider initially charges $549. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data