This provider's $29.0M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 105% from 2014 to 2023.
65% of their billing comes from a single procedure code (37229 — Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 115% in 2015
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 | $6.4K | $1.6K | 4.10x | $4.8K | $826.5K | 733 | 579 |
| 2015 | $6.9K | $1.6K | 4.28x | $5.3K | $1.8M | 1.4K | 1.1K |
| 2016 | $6.5K | $1.5K | 4.45x | $5.0K | $3.5M | 2.2K | 1.6K |
| 2017 | $7.1K | $1.6K | 4.51x | $5.5K | $4.2M | 3.8K | 2.8K |
| 2018 | $5.2K | $1.2K | 4.50x | $4.1K | $2.5M | 2.3K | 1.7K |
| 2019 | $6.9K | $1.6K | 4.40x | $5.3K | $3.9M | 2.9K | 2.2K |
| 2020 | $5.0K | $1.0K | 4.74x | $3.9K | $3.9M | 3.3K | 2.4K |
| 2021 | $5.7K | $1.3K | 4.43x | $4.4K | $3.6M | 3.6K | 2.7K |
| 2022 | $4.6K | $1.0K | 4.57x | $3.6K | $3.1M | 3.5K | 2.9K |
| 2023 | $4.0K | $828.99 | 4.86x | $3.2K | $1.7M | 2.2K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 2.5K | $18.7M | $7.6K | 4.11x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 800 | $5.2M | $6.5K | 4.89x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 79 | $923.9K | $11.7K | 3.82x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 1.1K | $674.4K | $601.10 | 7.35x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 670 | $530.3K | $791.49 | 4.00x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 124 | $418.8K | $3.4K | 4.80x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 2.8K | $345.9K | $122.40 | 12.78x |
| 37242 | Occlusion of artery with review by radiologist | 49 | $273.3K | $5.6K | 3.83x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 231 | $245.7K | $1.1K | 3.98x |
| 37243 | Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance | 28 | $206.6K | $7.4K | 3.90x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $183.5K | $85.22 | 3.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.6K | $154.5K | $59.57 | 3.39x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $123.0K | $118.94 | 2.93x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 129 | $116.9K | $906.17 | 3.99x |
| 36246 | Insertion of catheter into abdominal pelvic or leg artery | 318 | $109.8K | $345.42 | 7.48x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 2.6K | $101.3K | $38.68 | 4.22x |
| 76937 | Ultrasound guidance for accessing into blood vessel | 3.3K | $86.1K | $25.90 | 4.98x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 803 | $62.6K | $77.95 | 3.59x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 15 | $57.1K | $3.8K | 4.07x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 48 | $46.6K | $969.95 | 4.03x |
This provider submits charges 4.45 times higher than what Medicare actually pays.
A markup ratio of 4.45x means for every $100 Medicare pays, this provider initially charges $445. 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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