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Methodology•Download Data
  1. Home
  2. Providers
  3. Peter Fail
❤️
MDIndividual

Peter Fail, MD

NPI: 1437156429
Houma, LA
10 years of data
Advanced Heart Failure and Transplant Cardiology
$4.9M
Total Payments
86.3K
Beneficiaries
122.1K
Services
4.8x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.9M
Specialty median$83.5K

📋 Key Findings

1Billed $4.9M over 10 years
24.8x markup ratio (above median)
399th percentile in Advanced Heart Failure and Transplant Cardiology by payments
412 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Advanced Heart Failure and Transplant Cardiology providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

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$796.51$118.556.72x$677.96$556.0K15.8K10.9K
2015$647.73$92.357.01x$555.38$518.1K15.4K10.9K
2016$672.01$95.347.05x$576.67$550.9K15.8K10.9K
2017$780.18$123.266.33x$656.92$530.8K14.5K10.5K
2018$679.76$119.475.69x$560.29$559.3K14.0K9.9K
2019$605.02$128.584.71x$476.44$543.3K12.7K9.1K
2020$635.85$124.085.12x$511.77$486.5K10.3K7.2K
2021$644.57$124.655.17x$519.92$438.8K8.1K6.1K
2022$634.70$127.005.00x$507.70$378.7K7.8K5.4K
2023$436.47$87.744.97x$348.73$336.6K7.5K5.3K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$849.7K
10.9K services$77.62/svc2.26x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 7.9x markup
$478.2K
3.2K services$148.82/svc7.93x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$364.4K
7.8K services$46.45/svc2.58x markup
74174CT scan of abdominal and pelvic blood vessels with contrast⚠ 7.0x markup
$282.6K
992 services$284.83/svc7.00x markup
33361Replacement of aortic valve with prosthetic valve, accessed through the skin⚠ 6.0x markup
$269.3K
405 services$664.82/svc6.05x markup
33418Replacement of aortic valve with prosthetic valve accessed through the skin⚠ 3.6x markup
$181.4K
131 services$1.4K/svc3.61x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck⚠ 3.9x markup
$173.1K
1.3K services$130.23/svc3.92x markup
75635CT scan of abdominal aorta and both leg arteries with contrast⚠ 6.9x markup
$152.6K
610 services$250.11/svc6.88x markup
99490Chronic care management services at least 20 minutes per calendar month
$147.1K
4.5K services$32.76/svc2.52x markup
80061Blood test, lipids (cholesterol and triglycerides)⚠ 4.2x markup
$115.7K
9.8K services$11.79/svc4.24x markup
99204New patient office or other outpatient visit, typically 45 minutes
$108.0K
920 services$117.44/svc1.96x markup
71275CT scan of blood vessels in chest with contrast⚠ 9.6x markup
$91.3K
648 services$140.87/svc9.55x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$84.0K
155 services$542.07/svc2.77x markup
70498CT scan of neck blood vessels with contrast⚠ 5.9x markup
$78.2K
381 services$205.23/svc5.88x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$76.8K
647 services$118.72/svc1.98x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 11.4x markup
$72.8K
362 services$201.24/svc11.43x markup
83880Natriuretic peptide (heart and blood vessel protein) level
$68.7K
1.6K services$43.85/svc2.62x markup
36222Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation⚠ 4.6x markup
$66.4K
216 services$307.33/svc4.56x markup
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin⚠ 7.9x markup
$64.8K
147 services$440.83/svc7.88x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$63.9K
798 services$80.09/svc2.12x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes10.9K$849.7K$77.622.26x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function3.2K$478.2K$148.827.93x
99213Established patient office or other outpatient visit, typically 15 minutes7.8K$364.4K$46.452.58x
74174CT scan of abdominal and pelvic blood vessels with contrast992$282.6K$284.837.00x
33361Replacement of aortic valve with prosthetic valve, accessed through the skin405$269.3K$664.826.05x
33418Replacement of aortic valve with prosthetic valve accessed through the skin131$181.4K$1.4K3.61x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck1.3K$173.1K$130.233.92x
75635CT scan of abdominal aorta and both leg arteries with contrast610$152.6K$250.116.88x
99490Chronic care management services at least 20 minutes per calendar month4.5K$147.1K$32.762.52x
80061Blood test, lipids (cholesterol and triglycerides)9.8K$115.7K$11.794.24x
99204New patient office or other outpatient visit, typically 45 minutes920$108.0K$117.441.96x
71275CT scan of blood vessels in chest with contrast648$91.3K$140.879.55x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days155$84.0K$542.072.77x
70498CT scan of neck blood vessels with contrast381$78.2K$205.235.88x
99215Established patient office or other outpatient, visit typically 40 minutes647$76.8K$118.721.98x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart362$72.8K$201.2411.43x
83880Natriuretic peptide (heart and blood vessel protein) level1.6K$68.7K$43.852.62x
36222Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation216$66.4K$307.334.56x
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin147$64.8K$440.837.88x
99233Subsequent hospital inpatient care, typically 35 minutes per day798$63.9K$80.092.12x

Markup Analysis

Charge-to-Payment Ratio

4.8x

This provider submits charges 4.8 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.8x means for every $100 Medicare pays, this provider initially charges $480. This is higher than the national average.

Location

Houma, LA

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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