This provider's $7.0M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
73% of their billing comes from a single procedure code (36475 — Destruction of insufficient vein of arm or leg, accessed through the skin).
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 | $924.73 | $198.89 | 4.65x | $725.84 | $737.6K | 1.7K | 1.1K |
| 2015 | $1.2K | $211.18 | 5.55x | $960.70 | $479.9K | 1.4K | 901 |
| 2016 | $1.2K | $199.70 | 5.91x | $979.77 | $414.5K | 1.3K | 830 |
| 2017 | $1.2K | $197.78 | 5.96x | $981.44 | $548.0K | 1.6K | 1.1K |
| 2018 | $1.8K | $414.13 | 4.34x | $1.4K | $763.5K | 2.3K | 1.6K |
| 2019 | $1.5K | $295.67 | 4.92x | $1.2K | $1.0M | 2.8K | 1.9K |
| 2020 | $1.5K | $289.80 | 5.02x | $1.2K | $776.9K | 2.3K | 1.6K |
| 2021 | $1.6K | $332.31 | 4.90x | $1.3K | $827.2K | 2.5K | 1.7K |
| 2022 | $1.5K | $259.43 | 5.61x | $1.2K | $783.7K | 2.7K | 1.9K |
| 2023 | $1.5K | $258.59 | 5.62x | $1.2K | $674.1K | 2.6K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 5.4K | $5.2M | $951.56 | 4.31x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 4.2K | $524.5K | $125.14 | 3.86x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 453 | $462.4K | $1.0K | 3.59x |
| 36476 | Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 1.2K | $243.0K | $207.13 | 18.79x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $195.3K | $52.73 | 3.24x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.3K | $156.7K | $68.87 | 3.74x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.9K | $152.8K | $78.93 | 3.28x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 979 | $78.0K | $79.67 | 3.82x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 25 | $36.4K | $1.5K | 3.35x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 1.1K | $15.3K | $14.49 | 3.48x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 15 | $2.0K | $132.75 | 3.75x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 13 | $358.21 | $27.55 | 3.24x |
This provider submits charges 4.65 times higher than what Medicare actually pays.
A markup ratio of 4.65x means for every $100 Medicare pays, this provider initially charges $465. 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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