This provider's $6.2M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Their average markup ratio of 5.95x is significantly above the specialty median of 4.7x.
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 | $221.77 | 5.40x | $975.67 | $629.9K | 3.5K | 2.0K |
| 2015 | $1.2K | $217.92 | 5.73x | $1.0K | $517.2K | 3.1K | 1.9K |
| 2016 | $1.2K | $215.21 | 5.81x | $1.0K | $551.9K | 3.3K | 1.9K |
| 2017 | $1.2K | $196.01 | 5.94x | $968.02 | $589.0K | 3.6K | 2.1K |
| 2018 | $1.3K | $216.83 | 5.83x | $1.0K | $630.0K | 3.6K | 2.1K |
| 2019 | $1.4K | $250.08 | 5.54x | $1.1K | $616.0K | 3.5K | 2.1K |
| 2020 | $1.4K | $235.56 | 5.87x | $1.1K | $755.4K | 3.8K | 2.1K |
| 2021 | $1.6K | $281.81 | 5.62x | $1.3K | $630.6K | 3.0K | 1.6K |
| 2022 | $1.6K | $263.85 | 6.02x | $1.3K | $611.6K | 3.1K | 1.5K |
| 2023 | $1.6K | $250.74 | 6.36x | $1.3K | $652.7K | 3.4K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 1.8K | $1.6M | $919.24 | 6.78x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.0K | $1.1M | $1.1K | 6.37x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 557 | $650.2K | $1.2K | 4.11x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 6.0K | $632.2K | $105.08 | 5.46x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 5.5K | $491.3K | $89.83 | 6.08x |
| 37765 | Multiple incisions for removal of varicose veins of arm or leg | 1.6K | $396.2K | $245.65 | 5.94x |
| 37766 | Multiple incisions for removal of varicose veins of arm or leg | 867 | $262.9K | $303.22 | 5.81x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.8K | $248.6K | $137.41 | 5.92x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 2.7K | $129.9K | $47.97 | 10.92x |
| 36479 | Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 489 | $126.5K | $258.61 | 5.37x |
| 76970 | Ultrasound follow-up study | 1.5K | $104.6K | $69.25 | 3.35x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 2.1K | $86.8K | $40.76 | 3.68x |
| 37799 | Blood vessel procedure | 375 | $66.6K | $177.51 | 6.52x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 866 | $65.6K | $75.79 | 4.02x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 697 | $44.1K | $63.33 | 3.13x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 573 | $30.6K | $53.38 | 3.86x |
| 93893 | Ultrasound scanning for blood clot detection with microbubble injection in head and neck vessel blood flow (inside the brain) | 223 | $30.4K | $136.16 | 6.18x |
| 36476 | Radiofrequency destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 122 | $30.0K | $245.60 | 5.36x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 1.5K | $23.2K | $15.38 | 4.44x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 653 | $23.0K | $35.26 | 3.46x |
This provider submits charges 5.95 times higher than what Medicare actually pays.
A markup ratio of 5.95x means for every $100 Medicare pays, this provider initially charges $595. 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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