This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Medicare payments to this provider grew 5736% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 4023% 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 |
|---|---|---|---|---|---|---|---|
| 2018 | $942.33 | $365.77 | 2.58x | $576.56 | $14.4K | 72 | 68 |
| 2019 | $3.0K | $1.1K | 2.65x | $1.8K | $592.5K | 1.1K | 939 |
| 2020 | $2.5K | $813.78 | 3.08x | $1.7K | $806.0K | 1.2K | 964 |
| 2021 | $3.9K | $1.3K | 3.05x | $2.6K | $611.9K | 984 | 832 |
| 2022 | $3.0K | $861.10 | 3.51x | $2.2K | $399.1K | 721 | 512 |
| 2023 | $4.5K | $1.2K | 3.72x | $3.3K | $838.6K | 1.2K | 851 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 160 | $1.1M | $7.1K | 2.86x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 170 | $996.8K | $5.9K | 3.51x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 342 | $276.9K | $809.55 | 3.35x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 28 | $256.4K | $9.2K | 3.03x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 48 | $113.5K | $2.4K | 4.33x |
| 36247 | Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 124 | $69.4K | $559.89 | 5.08x |
| 35301 | Removal of blood clot and portion of artery of neck | 69 | $61.6K | $893.39 | 2.62x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 591 | $51.6K | $87.32 | 2.40x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 334 | $46.0K | $137.70 | 3.03x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 348 | $42.0K | $120.60 | 2.30x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 325 | $32.3K | $99.34 | 2.36x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 197 | $29.8K | $151.31 | 2.68x |
| 36140 | Insertion of needle or tube into artery of arm or leg | 132 | $25.9K | $196.40 | 4.09x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 87 | $15.8K | $181.46 | 2.70x |
| 37233 | Removal of plaque in artery of leg, each additional vessel | 20 | $15.6K | $779.33 | 3.50x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 99 | $12.9K | $129.81 | 2.96x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 337 | $12.6K | $37.50 | 2.61x |
| 35371 | Removal of blood clot and portion of artery of upper thigh artery | 24 | $12.0K | $499.06 | 3.39x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 292 | $9.8K | $33.71 | 2.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 177 | $9.7K | $54.66 | 2.63x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. 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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