This provider's $5.9M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Medicare payments to this provider grew 427% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 11410% in 2019
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 | $560.98 | $227.08 | 2.47x | $333.90 | $201.9K | 2.0K | 1.1K |
| 2015 | $444.57 | $167.69 | 2.65x | $276.88 | $137.1K | 1.5K | 900 |
| 2016 | $429.88 | $172.73 | 2.49x | $257.15 | $128.1K | 1.2K | 778 |
| 2017 | $242.00 | $106.55 | 2.27x | $135.45 | $84.7K | 1.1K | 703 |
| 2018 | $158.00 | $87.43 | 1.81x | $70.57 | $14.1K | 208 | 136 |
| 2019 | $3.6K | $1.4K | 2.63x | $2.2K | $1.6M | 1.5K | 1.0K |
| 2020 | $4.6K | $1.6K | 2.89x | $3.0K | $805.9K | 688 | 520 |
| 2021 | $4.5K | $1.5K | 3.01x | $3.0K | $869.8K | 830 | 528 |
| 2022 | $4.2K | $1.2K | 3.52x | $3.0K | $928.2K | 978 | 683 |
| 2023 | $4.2K | $1.2K | 3.59x | $3.0K | $1.1M | 1.2K | 615 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 304 | $2.5M | $8.3K | 2.66x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 312 | $1.8M | $5.9K | 3.80x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 458 | $403.7K | $881.48 | 2.78x |
| 36200 | Insertion of catheter into aorta | 494 | $116.0K | $234.78 | 4.41x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.9K | $108.5K | $57.51 | 1.65x |
| 36140 | Insertion of needle or catheter into an artery of arm or leg | 443 | $90.6K | $204.49 | 4.10x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 67 | $82.6K | $1.2K | 2.76x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 68 | $80.9K | $1.2K | 2.41x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 433 | $65.0K | $150.19 | 2.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $64.5K | $53.69 | 1.76x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 435 | $60.7K | $139.63 | 2.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 635 | $51.2K | $80.56 | 1.85x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 295 | $47.8K | $161.97 | 1.54x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 446 | $47.6K | $106.78 | 2.39x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 220 | $41.8K | $189.93 | 3.92x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 366 | $40.1K | $109.47 | 1.74x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 211 | $30.8K | $146.15 | 2.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 188 | $23.9K | $127.08 | 1.57x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 545 | $22.3K | $40.89 | 2.43x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 129 | $18.8K | $146.03 | 3.29x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. 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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