This provider's $10.0M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
Their average markup ratio of 6.57x is significantly above the specialty median of 4.0x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 90% in 2016
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 | $3.3K | $564.75 | 5.87x | $2.8K | $786.3K | 3.0K | 2.2K |
| 2015 | $3.8K | $580.43 | 6.53x | $3.2K | $587.2K | 2.3K | 1.6K |
| 2016 | $7.6K | $1.3K | 5.99x | $6.3K | $1.1M | 1.9K | 1.4K |
| 2017 | $6.8K | $1.1K | 6.27x | $5.7K | $1.8M | 2.6K | 1.9K |
| 2018 | $7.5K | $1.2K | 6.28x | $6.3K | $1.3M | 2.2K | 1.5K |
| 2019 | $7.0K | $1.0K | 6.88x | $6.0K | $1.2M | 2.4K | 1.6K |
| 2020 | $8.4K | $1.4K | 6.21x | $7.1K | $786.4K | 1.3K | 827 |
| 2021 | $8.6K | $1.1K | 7.62x | $7.5K | $792.0K | 915 | 668 |
| 2022 | $6.6K | $798.59 | 8.23x | $5.8K | $648.8K | 1.4K | 905 |
| 2023 | $9.8K | $1.4K | 7.12x | $8.4K | $1.0M | 1.0K | 728 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 369 | $2.8M | $7.7K | 7.73x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 158 | $2.4M | $15.2K | 5.23x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 154 | $1.4M | $9.1K | 6.43x |
| 36224 | Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation | 332 | $547.0K | $1.6K | 7.17x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 419 | $543.8K | $1.3K | 5.22x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 301 | $404.6K | $1.3K | 5.26x |
| 36226 | Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation | 329 | $345.0K | $1.0K | 11.23x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.1K | $201.2K | $63.92 | 5.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.5K | $104.0K | $70.16 | 5.20x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 601 | $96.9K | $161.29 | 5.20x |
| 36252 | Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation | 117 | $92.7K | $791.97 | 9.96x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 389 | $74.5K | $191.61 | 5.26x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 838 | $73.4K | $87.59 | 5.15x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 32 | $60.7K | $1.9K | 10.45x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 489 | $60.6K | $123.95 | 5.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 558 | $59.8K | $107.18 | 5.16x |
| 36227 | Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation | 207 | $58.5K | $282.64 | 6.75x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 245 | $58.0K | $236.93 | 5.28x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 551 | $52.9K | $96.08 | 5.39x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 291 | $34.0K | $116.79 | 5.33x |
This provider submits charges 6.57 times higher than what Medicare actually pays.
A markup ratio of 6.57x means for every $100 Medicare pays, this provider initially charges $657. 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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