This provider's $15.6M in total Medicare payments ranks in the 99th percentile of Cardiac 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $4.0K | $836.68 | 4.80x | $3.2K | $1.4M | 2.1K | 1.6K |
| 2015 | $3.6K | $1.2K | 3.08x | $2.4K | $1.6M | 2.2K | 1.5K |
| 2016 | $3.7K | $1.2K | 3.09x | $2.5K | $1.8M | 2.4K | 1.5K |
| 2017 | $4.7K | $1.7K | 2.81x | $3.0K | $2.2M | 2.5K | 1.6K |
| 2018 | $4.1K | $1.8K | 2.28x | $2.3K | $2.7M | 2.7K | 1.6K |
| 2019 | $3.5K | $1.3K | 2.71x | $2.2K | $2.4M | 2.3K | 1.4K |
| 2020 | $3.7K | $1.4K | 2.70x | $2.3K | $1.2M | 734 | 532 |
| 2021 | $3.9K | $1.3K | 3.08x | $2.6K | $1.3M | 830 | 522 |
| 2022 | $4.9K | $1.8K | 2.77x | $3.1K | $698.0K | 453 | 301 |
| 2023 | $3.9K | $1.3K | 2.97x | $2.6K | $367.3K | 260 | 183 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 982 | $5.8M | $5.9K | 2.44x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 716 | $4.4M | $6.1K | 1.99x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 284 | $2.8M | $9.8K | 1.54x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 914 | $836.4K | $915.13 | 2.19x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 352 | $398.5K | $1.1K | 3.27x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.8K | $335.3K | $49.47 | 2.42x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 251 | $279.1K | $1.1K | 7.37x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 1.2K | $143.2K | $119.12 | 16.24x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 879 | $129.9K | $147.78 | 3.39x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 24 | $88.9K | $3.7K | 3.00x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 35 | $72.2K | $2.1K | 4.94x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 493 | $58.1K | $117.84 | 2.14x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 551 | $41.4K | $75.18 | 2.31x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 535 | $39.8K | $74.46 | 2.37x |
| 76937 | Ultrasound guidance for accessing into blood vessel | 1.3K | $32.0K | $24.76 | 11.03x |
| 36140 | Insertion of needle or catheter into an artery of arm or leg | 99 | $28.6K | $289.37 | 7.22x |
| 37222 | Balloon dilation of groin artery, endovascular, open, or percutaneous approach | 48 | $25.7K | $534.47 | 7.15x |
| 35226 | Repair of blood vessel of leg | 60 | $23.1K | $385.64 | 14.76x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 280 | $21.0K | $75.17 | 17.70x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 194 | $18.8K | $96.99 | 13.63x |
This provider submits charges 2.54 times higher than what Medicare actually pays.
A markup ratio of 2.54x means for every $100 Medicare pays, this provider initially charges $254. 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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