This provider's $4.3M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 261% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% in 2021
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 | $1.3K | $208.27 | 6.02x | $1.0K | $234.8K | 1.8K | 1.3K |
| 2015 | $1.1K | $196.77 | 5.77x | $938.69 | $276.8K | 1.9K | 1.4K |
| 2016 | $1.1K | $190.50 | 5.66x | $888.28 | $293.0K | 1.9K | 1.4K |
| 2017 | $1.0K | $199.33 | 5.05x | $806.90 | $259.0K | 1.8K | 1.4K |
| 2018 | $964.39 | $210.96 | 4.57x | $753.43 | $336.9K | 1.8K | 1.4K |
| 2019 | $1.0K | $200.70 | 4.98x | $799.56 | $348.8K | 2.0K | 1.5K |
| 2020 | $1.1K | $239.15 | 4.45x | $825.44 | $401.7K | 1.9K | 1.4K |
| 2021 | $1.2K | $267.51 | 4.37x | $900.97 | $644.6K | 2.5K | 1.7K |
| 2022 | $1.1K | $241.26 | 4.70x | $892.53 | $695.2K | 2.5K | 1.7K |
| 2023 | $1.1K | $221.31 | 4.84x | $850.41 | $848.6K | 2.9K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 975 | $1.3M | $1.3K | 4.17x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 957 | $1.2M | $1.3K | 5.08x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.5K | $353.6K | $64.61 | 2.26x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.6K | $281.8K | $109.03 | 5.04x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.2K | $209.3K | $172.16 | 4.70x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.9K | $168.5K | $87.78 | 2.48x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 795 | $136.5K | $171.75 | 5.43x |
| 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 677 | $82.7K | $122.10 | 4.82x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.7K | $70.3K | $41.55 | 2.58x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 781 | $67.3K | $86.20 | 2.92x |
| 93923 | Ultrasound study of arteries of both arms and legs | 539 | $63.9K | $118.54 | 4.75x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 258 | $56.0K | $216.91 | 4.21x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 308 | $51.3K | $166.49 | 4.26x |
| 36476 | Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 176 | $47.8K | $271.57 | 5.45x |
| 37226 | Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 130 | $47.3K | $363.58 | 7.54x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 100 | $45.1K | $451.42 | 7.05x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 1.1K | $34.7K | $33.04 | 3.96x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 298 | $30.9K | $103.55 | 4.15x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 135 | $22.8K | $168.76 | 6.01x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 124 | $16.9K | $136.68 | 2.49x |
This provider submits charges 4.42 times higher than what Medicare actually pays.
A markup ratio of 4.42x means for every $100 Medicare pays, this provider initially charges $442. 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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