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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Fernando Otero
🔪
MDIndividual

Fernando Otero, MD

NPI: 1346244183
Walnut Creek, CA
10 years of data
Vascular Surgery
$24.9M
Total Payments
33.7K
Beneficiaries
53.1K
Services
4.79x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$24.9M
Specialty median$184.1K

📋 Key Findings

1Billed $24.9M over 10 years
24.79x markup ratio (above median)
399th percentile in Vascular Surgery by payments
420 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $24.9M in total Medicare payments ranks in the 99th percentile of Vascular Surgery providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$5.6K$1.3K4.31x$4.3K$2.6M5.4K3.3K
2015$5.1K$1.2K4.32x$3.9K$3.0M5.9K3.7K
2016$5.4K$1.3K4.24x$4.2K$3.2M6.8K4.2K
2017$4.7K$1.0K4.45x$3.6K$2.7M6.3K3.9K
2018$6.4K$1.3K4.90x$5.1K$2.8M6.4K4.0K
2019$7.3K$1.4K5.09x$5.9K$3.0M6.1K4.0K
2020$6.6K$1.5K4.54x$5.2K$3.1M5.3K3.5K
2021$6.8K$1.6K4.35x$5.3K$2.2M4.4K2.8K
2022$6.3K$1.3K4.92x$5.0K$1.5M3.6K2.3K
2023$3.8K$738.545.14x$3.1K$983.4K2.9K1.9K

Top Procedures (20)

37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure⚠ 3.7x markup
$4.8M
319 services$15.0K/svc3.72x markup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure⚠ 4.4x markup
$4.1M
441 services$9.2K/svc4.40x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure⚠ 4.0x markup
$3.4M
312 services$10.8K/svc4.01x markup
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation⚠ 6.6x markup
$1.4M
1.1K services$1.2K/svc6.61x markup
93925Ultrasound study of arteries and arterial grafts of both legs⚠ 4.5x markup
$1.2M
4.9K services$238.13/svc4.50x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin⚠ 4.4x markup
$1.1M
787 services$1.4K/svc4.39x markup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation⚠ 8.6x markup
$868.1K
1.5K services$562.25/svc8.59x markup
35476Balloon dilation of narrowed or blocked vein, accessed through the skin⚠ 6.9x markup
$815.6K
855 services$953.96/svc6.86x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.8x markup
$768.5K
10.8K services$71.01/svc3.80x markup
35475Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin⚠ 6.2x markup
$683.9K
496 services$1.4K/svc6.23x markup
93990Ultrasound of dialysis access⚠ 6.1x markup
$512.1K
3.9K services$130.55/svc6.11x markup
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure⚠ 4.7x markup
$510.5K
117 services$4.4K/svc4.69x markup
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation⚠ 3.7x markup
$436.4K
108 services$4.0K/svc3.74x markup
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation⚠ 5.2x markup
$276.7K
161 services$1.7K/svc5.23x markup
93922Ultrasound study of arteries of both arms and legs⚠ 6.0x markup
$267.1K
3.6K services$73.22/svc6.01x markup
75710Radiological supervision and interpretation of imaging of artery of one arm or leg⚠ 3.4x markup
$262.8K
2.0K services$129.29/svc3.43x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers⚠ 4.9x markup
$253.6K
1.5K services$169.71/svc4.92x markup
36140Insertion of needle or catheter into an artery of arm or leg⚠ 10.5x markup
$243.8K
1.5K services$166.64/svc10.51x markup
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation⚠ 6.4x markup
$227.9K
502 services$453.90/svc6.37x markup
36870Catheter removal of blood clot from dialysis graft, accessed through the skin⚠ 4.6x markup
$209.5K
146 services$1.4K/svc4.63x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure319$4.8M$15.0K3.72x
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure441$4.1M$9.2K4.40x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure312$3.4M$10.8K4.01x
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation1.1K$1.4M$1.2K6.61x
93925Ultrasound study of arteries and arterial grafts of both legs4.9K$1.2M$238.134.50x
36475Destruction of insufficient vein of arm or leg, accessed through the skin787$1.1M$1.4K4.39x
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation1.5K$868.1K$562.258.59x
35476Balloon dilation of narrowed or blocked vein, accessed through the skin855$815.6K$953.966.86x
99213Established patient office or other outpatient visit, typically 15 minutes10.8K$768.5K$71.013.80x
35475Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin496$683.9K$1.4K6.23x
93990Ultrasound of dialysis access3.9K$512.1K$130.556.11x
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure117$510.5K$4.4K4.69x
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation108$436.4K$4.0K3.74x
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation161$276.7K$1.7K5.23x
93922Ultrasound study of arteries of both arms and legs3.6K$267.1K$73.226.01x
75710Radiological supervision and interpretation of imaging of artery of one arm or leg2.0K$262.8K$129.293.43x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers1.5K$253.6K$169.714.92x
36140Insertion of needle or catheter into an artery of arm or leg1.5K$243.8K$166.6410.51x
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation502$227.9K$453.906.37x
36870Catheter removal of blood clot from dialysis graft, accessed through the skin146$209.5K$1.4K4.63x

Markup Analysis

Charge-to-Payment Ratio

4.79x

This provider submits charges 4.79 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.79x means for every $100 Medicare pays, this provider initially charges $479. This is higher than the national average.

Location

Walnut Creek, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Vascular Surgery providers in CA for peer comparison.

Fernando Otero (you)
$24.9M
Harold Tabaie, MD
$69.0M
Rajiv Nagesetty, MD
$48.3M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Harold Tabaie, MDLos Angeles, CA$69.0M✓ Clear
Rajiv Nagesetty, MDWalnut Creek, CA$48.3M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data