This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
Medicare payments to this provider grew 1320% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 170% 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 | $271.99 | $87.22 | 3.12x | $184.77 | $47.6K | 542 | 348 |
| 2015 | $392.87 | $126.19 | 3.11x | $266.68 | $128.6K | 1.3K | 687 |
| 2016 | $792.80 | $165.30 | 4.80x | $627.50 | $234.6K | 2.1K | 905 |
| 2017 | $947.63 | $155.14 | 6.11x | $792.49 | $327.2K | 3.3K | 1.1K |
| 2018 | $2.0K | $149.39 | 13.15x | $1.8K | $436.0K | 4.3K | 1.3K |
| 2019 | $1.6K | $171.06 | 9.32x | $1.4K | $532.0K | 4.0K | 1.4K |
| 2020 | $967.96 | $152.98 | 6.33x | $814.98 | $544.9K | 4.1K | 1.4K |
| 2021 | $993.86 | $190.81 | 5.21x | $803.05 | $651.1K | 4.3K | 1.5K |
| 2022 | $518.20 | $169.98 | 3.05x | $348.22 | $670.1K | 4.7K | 1.5K |
| 2023 | $1.4K | $174.56 | 7.96x | $1.2K | $675.8K | 4.5K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 11.9K | $1.3M | $106.09 | 3.13x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 636 | $998.2K | $1.6K | 2.67x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 5.4K | $654.7K | $121.50 | 4.03x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.0K | $308.0K | $150.59 | 2.93x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 154 | $191.6K | $1.2K | 2.90x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $162.1K | $72.87 | 3.16x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 3.7K | $159.2K | $43.31 | 6.13x |
| 11046 | Removal of skin and/or muscle | 1.9K | $83.2K | $43.89 | 3.63x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 653 | $65.1K | $99.73 | 1.95x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 888 | $55.9K | $63.00 | 4.87x |
| 36471 | Injection of chemical agent into multiple incompetent veins of one leg | 264 | $38.1K | $144.36 | 3.69x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 210 | $37.5K | $178.69 | 3.66x |
| 27603 | Drainage of abscess or blood collection at lower leg or ankle | 70 | $28.5K | $406.81 | 2.90x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 211 | $25.0K | $118.70 | 2.89x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 44 | $20.0K | $455.38 | 52.36x |
| 11045 | Removal of skin and tissue | 856 | $17.8K | $20.82 | 4.41x |
| 35301 | Removal of blood clot and portion of artery of neck | 18 | $15.5K | $860.15 | 2.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 296 | $13.8K | $46.47 | 3.27x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 38 | $13.6K | $358.74 | 30.90x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 176 | $11.6K | $66.19 | 4.76x |
This provider submits charges 3.68 times higher than what Medicare actually pays.
A markup ratio of 3.68x means for every $100 Medicare pays, this provider initially charges $368. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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