This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
Their average markup ratio of 5.09x is significantly above the specialty median of 4.7x.
AI-generated analysis based on Medicare payment data.
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 | $843.57 | $187.40 | 4.50x | $656.17 | $826.5K | 4.5K | 2.0K |
| 2015 | $797.93 | $166.24 | 4.80x | $631.69 | $881.6K | 5.1K | 2.3K |
| 2016 | $892.47 | $177.01 | 5.04x | $715.46 | $1.0M | 5.5K | 2.6K |
| 2017 | $879.88 | $173.37 | 5.08x | $706.51 | $991.7K | 5.7K | 2.7K |
| 2018 | $751.83 | $150.93 | 4.98x | $600.90 | $885.9K | 5.2K | 2.4K |
| 2019 | $876.33 | $174.45 | 5.02x | $701.88 | $1.0M | 5.9K | 2.7K |
| 2020 | $1.5K | $296.88 | 5.00x | $1.2K | $499.5K | 2.9K | 1.4K |
| 2021 | $1.1K | $268.94 | 4.23x | $867.79 | $702.0K | 2.2K | 1.3K |
| 2022 | $1.5K | $299.67 | 4.96x | $1.2K | $532.4K | 1.7K | 1.1K |
| 2023 | $1.2K | $225.11 | 5.49x | $1.0K | $575.3K | 2.7K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 4.2K | $3.3M | $796.96 | 6.44x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 12.7K | $1.6M | $127.36 | 3.94x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 7.0K | $848.8K | $121.38 | 2.51x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 613 | $654.8K | $1.1K | 4.82x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 442 | $403.9K | $913.79 | 4.60x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 3.8K | $308.8K | $80.54 | 2.79x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.5K | $252.1K | $71.64 | 2.79x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 6.0K | $248.4K | $41.54 | 10.69x |
| 10160 | Aspiration of abscess, blood accumulation, blister, or cyst | 1.1K | $62.8K | $56.10 | 5.35x |
| 36479 | Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 227 | $53.0K | $233.38 | 4.89x |
| 37766 | Multiple incisions for removal of varicose veins of arm or leg | 106 | $36.0K | $340.02 | 4.62x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 476 | $25.4K | $53.35 | 2.25x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 782 | $22.3K | $28.46 | 2.95x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 106 | $17.8K | $168.29 | 3.12x |
| 37765 | Multiple incisions for removal of varicose veins of arm or leg | 38 | $9.1K | $240.23 | 2.87x |
| 36476 | Radiofrequency destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 36 | $7.8K | $215.40 | 4.43x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 36 | $4.0K | $110.49 | 4.37x |
| 37785 | Tying incision and/or removal of varicose vein clusters of leg | 15 | $1.9K | $129.92 | 5.39x |
| 93923 | Ultrasound study of arteries of both arms and legs | 15 | $1.1K | $74.00 | 4.52x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 13 | $173.63 | $13.36 | 5.15x |
This provider submits charges 5.09 times higher than what Medicare actually pays.
A markup ratio of 5.09x means for every $100 Medicare pays, this provider initially charges $509. 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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