This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 562% in 2023
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 | $2.4K | $373.10 | 6.55x | $2.1K | $462.1K | 1.9K | 1.5K |
| 2015 | $2.7K | $549.45 | 4.89x | $2.1K | $484.2K | 1.9K | 1.6K |
| 2016 | $4.0K | $654.52 | 6.17x | $3.4K | $479.7K | 1.9K | 1.5K |
| 2017 | $3.1K | $695.41 | 4.51x | $2.4K | $388.6K | 1.6K | 1.3K |
| 2018 | $5.3K | $956.93 | 5.54x | $4.3K | $786.7K | 2.2K | 1.8K |
| 2019 | $5.8K | $1.1K | 5.17x | $4.7K | $931.3K | 2.1K | 1.8K |
| 2020 | $4.1K | $1.1K | 3.90x | $3.1K | $330.0K | 1.2K | 1.1K |
| 2021 | $2.4K | $525.29 | 4.55x | $1.9K | $191.8K | 1.1K | 1.0K |
| 2022 | $863.70 | $141.55 | 6.10x | $722.15 | $76.5K | 760 | 572 |
| 2023 | $5.1K | $1.1K | 4.85x | $4.0K | $506.7K | 1.0K | 767 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 308 | $1.8M | $5.9K | 4.80x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 72 | $740.6K | $10.3K | 3.74x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 81 | $505.5K | $6.2K | 4.40x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 589 | $269.7K | $457.96 | 8.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.0K | $262.6K | $52.61 | 2.45x |
| 35301 | Removal of blood clot and portion of artery of neck | 144 | $131.9K | $915.91 | 3.50x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $116.0K | $76.76 | 2.49x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.6K | $104.1K | $63.26 | 3.97x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 766 | $98.2K | $128.22 | 4.02x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 96 | $78.3K | $815.49 | 3.83x |
| 33533 | Heart artery bypass to repair one artery | 50 | $71.8K | $1.4K | 3.68x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 465 | $55.1K | $118.49 | 3.91x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 667 | $48.8K | $73.11 | 4.72x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 309 | $47.5K | $153.61 | 2.38x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 420 | $47.4K | $112.87 | 4.00x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 910 | $32.2K | $35.41 | 4.00x |
| 36246 | Insertion of catheter into abdominal pelvic or leg artery | 98 | $29.7K | $303.43 | 7.18x |
| 36248 | Insertion of catheter into each additional abdominal, pelvic or leg artery | 328 | $28.3K | $86.19 | 4.60x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 277 | $22.3K | $80.39 | 4.90x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 48 | $19.3K | $401.39 | 37.19x |
This provider submits charges 4.75 times higher than what Medicare actually pays.
A markup ratio of 4.75x means for every $100 Medicare pays, this provider initially charges $475. 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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