This provider's $4.5M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 375% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 116% in 2018
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 | $454.81 | $149.42 | 3.04x | $305.39 | $151.3K | 857 | 667 |
| 2015 | $515.00 | $171.85 | 3.00x | $343.15 | $146.9K | 966 | 702 |
| 2016 | $547.75 | $181.46 | 3.02x | $366.29 | $99.1K | 617 | 493 |
| 2017 | $611.69 | $214.14 | 2.86x | $397.55 | $147.5K | 658 | 563 |
| 2018 | $1.1K | $380.49 | 2.96x | $746.79 | $318.6K | 873 | 758 |
| 2019 | $670.83 | $210.06 | 3.19x | $460.77 | $665.9K | 1.7K | 1.2K |
| 2020 | $695.33 | $220.43 | 3.15x | $474.90 | $561.3K | 1.2K | 909 |
| 2021 | $621.58 | $191.13 | 3.25x | $430.45 | $819.7K | 1.7K | 1.1K |
| 2022 | $587.34 | $189.00 | 3.11x | $398.34 | $918.7K | 2.0K | 1.3K |
| 2023 | $659.15 | $194.44 | 3.39x | $464.71 | $719.2K | 2.1K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 2.1K | $2.7M | $1.2K | 2.53x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.1K | $1.1M | $992.66 | 3.89x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $103.8K | $58.24 | 2.31x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 669 | $101.6K | $151.88 | 3.27x |
| 36473 | Mechanochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 70 | $88.8K | $1.3K | 2.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 522 | $64.8K | $124.11 | 2.33x |
| 37765 | Multiple incisions for removal of varicose veins of arm or leg | 194 | $57.7K | $297.26 | 3.22x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 678 | $56.1K | $82.68 | 2.45x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 659 | $54.9K | $83.23 | 3.62x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 267 | $32.8K | $122.72 | 2.58x |
| Q4133 | Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter | 288 | $30.7K | $106.69 | 3.06x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 235 | $27.6K | $117.59 | 3.10x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 12 | $21.7K | $1.8K | 2.55x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 474 | $17.0K | $35.89 | 2.26x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 205 | $15.2K | $74.04 | 2.66x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 842 | $14.9K | $17.73 | 2.74x |
| 20606 | Aspiration and/or injection of intermediate joint or joint capsule with recording and reporting using ultrasound guidance | 230 | $13.2K | $57.47 | 4.80x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 120 | $12.2K | $101.36 | 3.31x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 177 | $9.1K | $51.49 | 5.85x |
| 27619 | Removal of (less than 5 centimeters) muscle growth of leg or ankle | 21 | $7.7K | $364.42 | 3.90x |
This provider submits charges 2.93 times higher than what Medicare actually pays.
A markup ratio of 2.93x means for every $100 Medicare pays, this provider initially charges $293. 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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