This provider's $8.1M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Medicare payments to this provider grew 266% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 163% 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 | $325.22 | $137.40 | 2.37x | $187.82 | $335.5K | 5.2K | 3.5K |
| 2015 | $551.67 | $244.79 | 2.25x | $306.88 | $498.5K | 5.2K | 3.3K |
| 2016 | $1.2K | $511.48 | 2.29x | $658.88 | $699.6K | 4.5K | 3.0K |
| 2017 | $1.6K | $762.85 | 2.15x | $873.82 | $927.1K | 5.0K | 3.2K |
| 2018 | $662.40 | $281.25 | 2.36x | $381.15 | $493.0K | 5.1K | 3.3K |
| 2019 | $1.9K | $1.0K | 1.90x | $906.36 | $1.3M | 5.7K | 3.7K |
| 2020 | $1.4K | $701.40 | 2.01x | $707.23 | $469.9K | 2.9K | 1.8K |
| 2021 | $2.3K | $1.1K | 2.04x | $1.1K | $1.1M | 4.1K | 2.4K |
| 2022 | $2.3K | $987.82 | 2.29x | $1.3K | $1.1M | 4.6K | 2.4K |
| 2023 | $1.6K | $657.08 | 2.46x | $957.32 | $1.2M | 4.1K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 132 | $1.6M | $11.8K | 2.09x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 94 | $1.0M | $10.9K | 2.04x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.1K | $693.1K | $85.82 | 1.77x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 530 | $527.8K | $995.93 | 2.51x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 113 | $454.0K | $4.0K | 1.74x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 51 | $397.3K | $7.8K | 2.31x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 823 | $330.2K | $401.23 | 1.54x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 513 | $324.2K | $631.96 | 1.85x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 317 | $264.9K | $835.51 | 2.98x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 30 | $225.7K | $7.5K | 2.43x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.5K | $220.9K | $148.25 | 3.27x |
| 37230 | Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 20 | $157.3K | $7.9K | 1.75x |
| 36245 | Insertion of catheter into abdominal pelvic or leg artery | 146 | $133.2K | $912.62 | 2.48x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 741 | $116.7K | $157.44 | 2.16x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.3K | $112.6K | $48.39 | 2.48x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 770 | $104.6K | $135.88 | 2.58x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 650 | $98.3K | $151.17 | 1.28x |
| 36200 | Insertion of catheter into aorta | 375 | $95.2K | $253.93 | 4.07x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 638 | $94.4K | $147.92 | 2.00x |
| 99457 | Remote monitoring of physiologic parameters management services, 20 minutes or more of qualified health care professional time per calendar month | 2.3K | $91.9K | $39.96 | 2.50x |
This provider submits charges 2.24 times higher than what Medicare actually pays.
A markup ratio of 2.24x means for every $100 Medicare pays, this provider initially charges $224. 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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