This provider's $10.5M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $1.2K | $611.58 | 2.01x | $617.59 | $1.2M | 2.1K | 1.1K |
| 2015 | $1.2K | $562.56 | 2.11x | $623.71 | $1.4M | 2.6K | 1.5K |
| 2016 | $770.00 | $273.16 | 2.82x | $496.84 | $694.6K | 2.2K | 1.4K |
| 2017 | $961.45 | $339.92 | 2.83x | $621.53 | $1.0M | 3.3K | 1.9K |
| 2018 | $985.58 | $415.86 | 2.37x | $569.72 | $972.3K | 3.1K | 1.9K |
| 2019 | $871.00 | $349.03 | 2.50x | $521.97 | $1.1M | 3.5K | 2.1K |
| 2020 | $857.72 | $312.22 | 2.75x | $545.50 | $1.1M | 3.4K | 1.9K |
| 2021 | $859.71 | $310.81 | 2.77x | $548.90 | $1.1M | 3.5K | 2.1K |
| 2022 | $856.31 | $283.99 | 3.02x | $572.32 | $1.1M | 4.0K | 2.3K |
| 2023 | $818.24 | $258.55 | 3.16x | $559.69 | $931.1K | 3.7K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 4.5K | $5.2M | $1.1K | 2.19x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 359 | $1.3M | $3.7K | 1.34x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 5.8K | $917.1K | $157.58 | 2.41x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 643 | $583.2K | $906.98 | 3.25x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 4.8K | $468.8K | $97.75 | 2.51x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 195 | $339.1K | $1.7K | 1.61x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 3.1K | $274.6K | $89.13 | 5.61x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 208 | $265.3K | $1.3K | 2.12x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.8K | $225.7K | $58.77 | 2.38x |
| 37765 | Multiple incisions for removal of varicose veins of arm or leg | 889 | $212.4K | $238.92 | 5.69x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $211.7K | $126.46 | 2.53x |
| 36476 | Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 651 | $164.9K | $253.24 | 3.24x |
| 36473 | Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 58 | $73.1K | $1.3K | 2.14x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 1.4K | $71.1K | $52.68 | 3.89x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.8K | $70.1K | $39.81 | 2.14x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 408 | $62.4K | $152.91 | 2.62x |
| 10160 | Aspiration of abscess, blood accumulation, blister, or cyst | 394 | $28.5K | $72.31 | 3.53x |
| 36479 | Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 74 | $19.2K | $259.34 | 3.24x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 290 | $14.1K | $48.57 | 6.18x |
| 29580 | Strapping, unna boot | 251 | $11.4K | $45.28 | 2.46x |
This provider submits charges 2.37 times higher than what Medicare actually pays.
A markup ratio of 2.37x means for every $100 Medicare pays, this provider initially charges $237. 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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