This provider's $4.6M 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 | $917.26 | $262.92 | 3.49x | $654.34 | $354.2K | 1.7K | 982 |
| 2015 | $1.3K | $309.02 | 4.11x | $960.29 | $466.5K | 1.9K | 1.2K |
| 2016 | $1.3K | $294.82 | 4.46x | $1.0K | $477.3K | 1.9K | 1.2K |
| 2017 | $1.3K | $253.91 | 4.96x | $1.0K | $449.3K | 1.9K | 1.4K |
| 2018 | $1.0K | $239.77 | 4.36x | $806.49 | $479.7K | 1.9K | 1.5K |
| 2019 | $1.2K | $276.15 | 4.40x | $938.18 | $610.2K | 2.4K | 1.8K |
| 2020 | $1.2K | $260.01 | 4.65x | $950.08 | $458.8K | 2.4K | 1.7K |
| 2021 | $1.3K | $287.48 | 4.59x | $1.0K | $433.3K | 2.2K | 1.4K |
| 2022 | $1.5K | $301.96 | 4.81x | $1.2K | $499.6K | 2.5K | 1.5K |
| 2023 | $1.1K | $204.54 | 5.43x | $906.65 | $376.6K | 2.3K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 1.2K | $1.1M | $967.18 | 5.69x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 944 | $1.1M | $1.2K | 4.77x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 2.5K | $403.4K | $159.70 | 3.12x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.9K | $287.9K | $100.26 | 2.99x |
| 37766 | Multiple incisions for removal of varicose veins of arm or leg | 632 | $242.4K | $383.54 | 3.13x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $180.4K | $129.22 | 1.95x |
| 76970 | Ultrasound follow-up study | 2.5K | $176.4K | $71.66 | 3.44x |
| 37765 | Multiple incisions for removal of varicose veins of arm or leg | 429 | $120.5K | $280.96 | 3.56x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 91 | $116.6K | $1.3K | 3.91x |
| 36470 | Injection of chemical agent into single vein | 971 | $93.9K | $96.72 | 3.41x |
| 35301 | Removal of blood clot and portion of artery of neck | 91 | $91.5K | $1.0K | 4.65x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 572 | $83.0K | $145.16 | 5.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $81.9K | $65.34 | 2.29x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.5K | $77.0K | $49.72 | 8.04x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 447 | $74.7K | $167.04 | 1.66x |
| 97610 | Therapy procedure using ultrasound | 176 | $67.4K | $383.19 | 1.97x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.7K | $66.0K | $39.79 | 2.34x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 300 | $47.9K | $159.54 | 3.13x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 274 | $42.0K | $153.22 | 2.99x |
| 36479 | Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 148 | $39.7K | $268.55 | 12.63x |
This provider submits charges 4.29 times higher than what Medicare actually pays.
A markup ratio of 4.29x means for every $100 Medicare pays, this provider initially charges $429. 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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