This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Medicare payments to this provider grew 265% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2789% 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 | $4.6K | $955.39 | 4.86x | $3.7K | $270.0K | 586 | 530 |
| 2015 | $931.80 | $65.84 | 14.15x | $865.96 | $87.9K | 1.2K | 1.1K |
| 2016 | $1.3K | $89.27 | 14.80x | $1.2K | $91.4K | 1.2K | 1.1K |
| 2017 | $4.7K | $1.6K | 3.03x | $3.2K | $1.6M | 1.3K | 915 |
| 2018 | $5.2K | $1.8K | 2.94x | $3.4K | $949.8K | 822 | 600 |
| 2019 | $4.7K | $1.5K | 3.20x | $3.2K | $1.5M | 1.0K | 671 |
| 2020 | $6.2K | $2.3K | 2.74x | $3.9K | $390.5K | 321 | 283 |
| 2021 | $4.2K | $1.4K | 3.00x | $2.8K | $431.7K | 377 | 308 |
| 2022 | $978.06 | $98.48 | 9.93x | $879.58 | $34.1K | 289 | 278 |
| 2023 | $3.0K | $936.59 | 3.21x | $2.1K | $984.7K | 1.4K | 1.1K |
| 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 | 216 | $2.4M | $10.9K | 2.52x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 372 | $2.1M | $5.6K | 3.67x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 138 | $889.1K | $6.4K | 3.27x |
| 99285 | Emergency department visit, problem with significant threat to life or function | 1.2K | $164.0K | $134.44 | 14.63x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 162 | $150.0K | $925.92 | 2.55x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 727 | $137.5K | $189.11 | 2.82x |
| 37238 | Insertion of stent in vein with review by radiologist, initial vein | 38 | $101.5K | $2.7K | 2.60x |
| 99284 | Emergency department visit, problem of high severity | 786 | $70.4K | $89.52 | 14.60x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 33 | $31.6K | $958.86 | 2.54x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 378 | $29.6K | $78.35 | 2.73x |
| 37239 | Insertion of stent in vein with review by radiologist, each additional vein | 22 | $29.2K | $1.3K | 2.59x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 196 | $27.5K | $140.22 | 3.86x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 220 | $26.2K | $119.30 | 2.83x |
| 36012 | Insertion of tube into vein, second order branch | 45 | $23.0K | $510.90 | 3.41x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 153 | $22.6K | $147.91 | 2.54x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 177 | $18.3K | $103.49 | 3.74x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 196 | $18.3K | $93.24 | 3.04x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 502 | $16.8K | $33.48 | 2.72x |
| 99283 | Emergency department visit, moderately severe problem | 348 | $16.1K | $46.36 | 21.08x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 106 | $13.3K | $125.79 | 2.69x |
This provider submits charges 3.56 times higher than what Medicare actually pays.
A markup ratio of 3.56x means for every $100 Medicare pays, this provider initially charges $356. 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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