This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
Medicare payments to this provider grew 420% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 560% in 2015
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $563.72 | $211.15 | 2.67x | $352.57 | $105.7K | 896 | 716 |
| 2015 | $3.2K | $1.3K | 2.47x | $1.9K | $697.6K | 943 | 752 |
| 2016 | $2.7K | $1.1K | 2.46x | $1.6K | $671.0K | 996 | 784 |
| 2017 | $2.9K | $1.0K | 2.81x | $1.8K | $578.8K | 1.0K | 784 |
| 2018 | $1.8K | $842.65 | 2.14x | $961.21 | $349.1K | 798 | 635 |
| 2019 | $2.0K | $958.67 | 2.06x | $1.0K | $407.9K | 661 | 547 |
| 2020 | $3.6K | $1.4K | 2.59x | $2.2K | $635.1K | 950 | 729 |
| 2021 | $3.0K | $1.2K | 2.62x | $1.9K | $664.4K | 1.1K | 889 |
| 2022 | $2.9K | $1.2K | 2.52x | $1.8K | $528.2K | 927 | 738 |
| 2023 | $2.9K | $981.20 | 3.00x | $2.0K | $549.6K | 970 | 783 |
| 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 | 275 | $2.8M | $10.0K | 1.88x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 140 | $822.1K | $5.9K | 3.09x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 129 | $377.7K | $2.9K | 2.73x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.1K | $185.1K | $59.55 | 1.68x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 101 | $139.5K | $1.4K | 4.88x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 144 | $131.6K | $914.09 | 3.28x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 14 | $118.0K | $8.4K | 2.37x |
| 35301 | Removal of blood clot and portion of artery of neck | 101 | $98.3K | $973.10 | 1.69x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 447 | $57.6K | $128.95 | 1.73x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 603 | $51.6K | $85.62 | 2.31x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 36 | $49.5K | $1.4K | 5.01x |
| 36011 | Insertion of catheter into vein | 135 | $46.6K | $345.46 | 3.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 466 | $40.6K | $87.13 | 1.54x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 59 | $37.1K | $628.30 | 4.26x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 308 | $33.4K | $108.43 | 1.96x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 139 | $20.9K | $150.15 | 3.33x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 250 | $20.7K | $82.65 | 3.65x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 528 | $20.4K | $38.62 | 2.04x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 201 | $16.2K | $80.64 | 2.00x |
| 37239 | Insertion of stent in vein with review by radiologist, each additional vein | 11 | $14.3K | $1.3K | 3.14x |
This provider submits charges 2.38 times higher than what Medicare actually pays.
A markup ratio of 2.38x means for every $100 Medicare pays, this provider initially charges $238. 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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