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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Harry Tsou
๐Ÿ“ก
MDIndividual

Harry Tsou, MD

NPI: 1598792632
Long Island City, NY
10 years of data
Interventional Radiology
$40.1M
Total Payments
34.3K
Beneficiaries
232.5K
Services
2x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$40.1M
Specialty median$146.5K
Rank #5 of 5 in specialty

๐Ÿ“‹ Key Findings

1Billed $40.1M over 10 years
22x markup ratio
399th percentile in Interventional Radiology by payments
493 services/day โ€” unusually high
5Payments surged 54% in 2022
63 procedures with >3x markup

This provider averages 93 services per working day

Based on 232.5K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $40.1M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.

Averaging 93 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 54% in 2022

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$382.54$172.602.22x$209.94$4.1M23.7K3.5K
2015$553.65$172.593.21x$381.06$2.7M15.7K2.3K
2016$577.75$172.603.35x$405.15$4.1M24.0K3.5K
2017$416.20$172.602.41x$243.60$3.1M18.2K2.7K
2018$670.90$172.593.89x$498.31$4.7M27.5K4.1K
2019$618.74$172.603.58x$446.14$4.2M24.1K3.5K
2020$584.89$172.593.39x$412.30$3.4M20.0K2.9K
2021$492.87$172.592.86x$320.28$3.6M20.6K3.0K
2022$444.81$172.602.58x$272.21$5.5M31.8K4.7K
2023$332.17$172.601.92x$159.57$4.7M27.0K4.0K

Top Procedures (10)

99213Office/outpatient visit, low complexity
$13.3M
100.2K services$133.22/svc2.06x markup
99214Office/outpatient visit, moderate complexity
$5.0M
27.3K services$184.35/svc2.34x markup
99215Office/outpatient visit, high complexity
$4.0M
13.3K services$299.98/svc2.47x markup
99203Office/outpatient visit, new patient
$2.7M
13.6K services$199.40/svc2.48x markup
36415Insertion of needle into vein for blood collection
$1.8M
5.9K services$306.48/svc2.46x markup
93000Electrocardiogram with interpretationโš  3.2x markup
$1.3M
10.1K services$131.89/svc3.17x markup
96372Therapeutic injection
$1.3M
9.6K services$134.99/svc2.10x markup
85025Complete blood cell countโš  5.0x markup
$1.0M
8.8K services$118.21/svc5.03x markup
80053Comprehensive metabolic panelโš  3.4x markup
$891.3K
7.4K services$120.28/svc3.35x markup
71046Chest X-ray, 2 views
$681.2K
3.4K services$200.29/svc2.99x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99213Office/outpatient visit, low complexity100.2K$13.3M$133.222.06x
99214Office/outpatient visit, moderate complexity27.3K$5.0M$184.352.34x
99215Office/outpatient visit, high complexity13.3K$4.0M$299.982.47x
99203Office/outpatient visit, new patient13.6K$2.7M$199.402.48x
36415Insertion of needle into vein for blood collection5.9K$1.8M$306.482.46x
93000Electrocardiogram with interpretation10.1K$1.3M$131.893.17x
96372Therapeutic injection9.6K$1.3M$134.992.10x
85025Complete blood cell count8.8K$1.0M$118.215.03x
80053Comprehensive metabolic panel7.4K$891.3K$120.283.35x
71046Chest X-ray, 2 views3.4K$681.2K$200.292.99x

Markup Analysis

Charge-to-Payment Ratio

2x

This provider submits charges 2 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower than the national average.

Location

Long Island City, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data