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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. Pablo Guala
⚕️
MDIndividual

Pablo Guala, M.D.

NPI: 1407953482
Hialeah, FL
10 years of data
Peripheral Vascular Disease
$46.7M
Total Payments
263
Beneficiaries
40.3K
Services
3.66x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$46.7M
Specialty median$233.1K
Rank #1 of 1 in specialty

📋 Key Findings

1Billed $46.7M over 10 years
23.66x markup ratio (above median)
399th percentile in Peripheral Vascular Disease by payments
4Payments surged 146% in 2015
511 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $46.7M in total Medicare payments ranks in the 99th percentile of Peripheral Vascular Disease providers nationally.

Medicare payments to this provider grew 128% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 146% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$1.0K$380.352.74x$663.62$2.2M5.7K31
2015$3.3K$897.733.64x$2.4K$5.3M5.9K30
2016$4.0K$1.1K3.67x$2.9K$5.4M4.9K24
2017$3.8K$1.0K3.78x$2.8K$4.7M4.6K32
2018$3.5K$943.833.69x$2.5K$3.5M3.8K26
2019$5.1K$1.6K3.21x$3.5K$5.4M3.4K28
2020$5.6K$1.7K3.37x$3.9K$4.1M2.5K23
2021$7.1K$2.0K3.49x$5.0K$6.3M3.1K24
2022$6.4K$1.6K4.10x$4.8K$4.9M3.2K24
2023$6.7K$1.5K4.46x$5.2K$4.9M3.3K21

Top Procedures (20)

37229Removal of plaque in artery of leg, initial vessel⚠ 3.4x markup
$16.3M
2.3K services$7.0K/svc3.40x markup
37227Removal of plaque and insertion of stents in arteries of leg⚠ 3.5x markup
$10.4M
940 services$11.0K/svc3.52x markup
37225Removal of plaque in arteries of leg⚠ 4.5x markup
$7.5M
1.1K services$6.6K/svc4.52x markup
37231Removal of plaque and insertion of stents in artery of leg, initial vessel⚠ 3.3x markup
$5.8M
543 services$10.6K/svc3.33x markup
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vessel⚠ 3.4x markup
$1.0M
1.1K services$880.40/svc3.41x markup
36247Insertion of catheter into abdominal pelvic or leg artery⚠ 5.5x markup
$660.1K
946 services$697.73/svc5.49x markup
37233Removal of plaque in artery of leg, each additional vessel
$576.3K
524 services$1.1K/svc2.73x markup
78452Nuclear medicine studies of heart muscle at rest and with stress and spect
$547.0K
1.4K services$392.95/svc2.71x markup
37221Insertion of stent in groin artery, initial vessel⚠ 6.0x markup
$509.4K
254 services$2.0K/svc5.98x markup
93925Ultrasound of leg arteries or artery grafts⚠ 3.1x markup
$294.3K
1.5K services$192.85/svc3.15x markup
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
$291.6K
1.7K services$168.85/svc2.92x markup
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose
$285.9K
2.8K services$102.19/svc2.74x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$265.3K
3.0K services$89.18/svc2.72x markup
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance⚠ 3.8x markup
$209.3K
167 services$1.3K/svc3.79x markup
36246Insertion of catheter into abdominal pelvic or leg artery⚠ 6.7x markup
$207.0K
566 services$365.73/svc6.67x markup
75710Review by radiologist of arm or leg artery image
$205.0K
1.5K services$138.96/svc2.50x markup
75716Review by radiologist of both arms or legs arteries image
$198.8K
1.3K services$154.45/svc2.51x markup
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel⚠ 3.2x markup
$178.4K
1.1K services$156.75/svc3.19x markup
37238Insertion of stent in vein with review by radiologist, initial vein
$154.2K
52 services$3.0K/svc2.70x markup
93970Ultrasound study of arm or leg veins with compression and maneuvers
$151.5K
1.0K services$145.69/svc2.78x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37229Removal of plaque in artery of leg, initial vessel2.3K$16.3M$7.0K3.40x
37227Removal of plaque and insertion of stents in arteries of leg940$10.4M$11.0K3.52x
37225Removal of plaque in arteries of leg1.1K$7.5M$6.6K4.52x
37231Removal of plaque and insertion of stents in artery of leg, initial vessel543$5.8M$10.6K3.33x
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vessel1.1K$1.0M$880.403.41x
36247Insertion of catheter into abdominal pelvic or leg artery946$660.1K$697.735.49x
37233Removal of plaque in artery of leg, each additional vessel524$576.3K$1.1K2.73x
78452Nuclear medicine studies of heart muscle at rest and with stress and spect1.4K$547.0K$392.952.71x
37221Insertion of stent in groin artery, initial vessel254$509.4K$2.0K5.98x
93925Ultrasound of leg arteries or artery grafts1.5K$294.3K$192.853.15x
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function1.7K$291.6K$168.852.92x
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose2.8K$285.9K$102.192.74x
99214Established patient office or other outpatient visit, 30-39 minutes3.0K$265.3K$89.182.72x
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance167$209.3K$1.3K3.79x
36246Insertion of catheter into abdominal pelvic or leg artery566$207.0K$365.736.67x
75710Review by radiologist of arm or leg artery image1.5K$205.0K$138.962.50x
75716Review by radiologist of both arms or legs arteries image1.3K$198.8K$154.452.51x
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel1.1K$178.4K$156.753.19x
37238Insertion of stent in vein with review by radiologist, initial vein52$154.2K$3.0K2.70x
93970Ultrasound study of arm or leg veins with compression and maneuvers1.0K$151.5K$145.692.78x

Markup Analysis

Charge-to-Payment Ratio

3.66x

This provider submits charges 3.66 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.66x means for every $100 Medicare pays, this provider initially charges $366. This is higher than the national average.

Location

Hialeah, FL

Provider Verification

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

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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.

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