This provider's $6.1M in total Medicare payments ranks in the 99th percentile of Emergency Medicine providers nationally.
Medicare payments to this provider grew 356% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 369% in 2016
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 | $821.25 | $210.60 | 3.90x | $610.65 | $181.2K | 832 | 399 |
| 2015 | $1.2K | $306.14 | 4.04x | $929.39 | $119.4K | 560 | 337 |
| 2016 | $1.1K | $248.61 | 4.58x | $889.81 | $559.6K | 1.6K | 991 |
| 2017 | $2.1K | $446.74 | 4.71x | $1.7K | $415.7K | 1.3K | 855 |
| 2018 | $1.8K | $452.87 | 3.96x | $1.3K | $677.3K | 2.6K | 1.7K |
| 2019 | $1.5K | $410.64 | 3.59x | $1.1K | $941.8K | 3.1K | 1.9K |
| 2020 | $1.6K | $446.22 | 3.57x | $1.1K | $833.8K | 2.9K | 1.8K |
| 2021 | $1.7K | $438.57 | 3.84x | $1.2K | $815.7K | 2.9K | 1.9K |
| 2022 | $1.6K | $378.92 | 4.16x | $1.2K | $738.0K | 2.8K | 1.9K |
| 2023 | $1.3K | $316.45 | 4.04x | $962.49 | $826.1K | 3.0K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 1.3K | $1.6M | $1.2K | 2.80x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.4K | $1.5M | $1.1K | 4.70x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 3.6K | $533.6K | $146.99 | 3.78x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 4.2K | $396.2K | $93.32 | 3.85x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 401 | $376.3K | $938.36 | 4.45x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 304 | $367.9K | $1.2K | 2.89x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 2.4K | $330.1K | $140.24 | 4.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.4K | $301.4K | $123.06 | 3.59x |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 212 | $279.8K | $1.3K | 3.41x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.5K | $203.7K | $58.29 | 3.23x |
| 36473 | Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 70 | $79.6K | $1.1K | 3.78x |
| 37799 | Blood vessel procedure | 395 | $56.1K | $141.90 | 10.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 604 | $53.9K | $89.16 | 3.06x |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | 330 | $13.8K | $41.77 | 2.87x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 266 | $12.5K | $47.06 | 12.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 121 | $10.0K | $83.00 | 3.49x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 27 | $4.6K | $171.41 | 3.33x |
| 36470 | Injection of chemical agent into single incompetent vein | 25 | $2.1K | $85.92 | 4.66x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 13 | $1.8K | $139.20 | 2.80x |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 11 | $622.27 | $56.57 | 3.54x |
This provider submits charges 3.79 times higher than what Medicare actually pays.
A markup ratio of 3.79x means for every $100 Medicare pays, this provider initially charges $379. 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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