This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Their average markup ratio of 6.79x 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 | $3.8K | $532.92 | 7.20x | $3.3K | $407.2K | 1.1K | 1.1K |
| 2015 | $4.6K | $621.24 | 7.43x | $4.0K | $502.4K | 1.1K | 1.1K |
| 2016 | $4.3K | $611.97 | 6.97x | $3.7K | $586.1K | 1.4K | 1.4K |
| 2017 | $4.0K | $539.94 | 7.42x | $3.5K | $473.1K | 1.1K | 1.1K |
| 2018 | $4.0K | $554.68 | 7.25x | $3.5K | $535.8K | 1.3K | 1.2K |
| 2019 | $4.0K | $537.94 | 7.50x | $3.5K | $627.0K | 1.4K | 1.4K |
| 2020 | $2.8K | $445.46 | 6.28x | $2.4K | $489.8K | 1.3K | 1.2K |
| 2021 | $3.1K | $493.84 | 6.23x | $2.6K | $417.3K | 1.1K | 1.0K |
| 2022 | $3.2K | $501.23 | 6.45x | $2.7K | $424.7K | 1.1K | 1.1K |
| 2023 | $3.1K | $471.78 | 6.61x | $2.6K | $397.7K | 1.1K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33533 | Heart artery bypass to repair one artery | 1.2K | $1.4M | $1.2K | 6.77x |
| 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 577 | $773.5K | $1.3K | 7.51x |
| 33430 | Replacement of valve between left upper and lower chambers on heart-lung machine | 331 | $670.8K | $2.0K | 6.66x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 606 | $372.6K | $614.88 | 9.57x |
| 33860 | Placement of graft to aorta on heart-lung machine | 120 | $280.2K | $2.3K | 6.12x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.2K | $207.8K | $95.27 | 4.31x |
| 33518 | Combined multiple vein and artery heart artery bypasses | 642 | $198.3K | $308.84 | 5.92x |
| 33530 | Reoperation of heart artery bypass or valve procedure more than 1 month after original operation | 322 | $127.1K | $394.57 | 5.92x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 729 | $110.1K | $151.02 | 3.28x |
| 33859 | Repair of ascending aorta with graft on heart-lung machine, for disease other than separation of wall of aorta (dissection) | 54 | $93.8K | $1.7K | 5.50x |
| 33426 | Insertion of artificial valve between left heart chambers on heart-lung machine | 53 | $84.9K | $1.6K | 6.63x |
| 33510 | Heart artery bypass to repair one artery | 73 | $56.9K | $779.06 | 11.07x |
| 33362 | Replacement of aortic valve with prosthetic valve, open procedure | 68 | $46.9K | $689.13 | 9.34x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 699 | $46.3K | $66.31 | 3.71x |
| 33416 | Removal of thickened heart muscle at left lower heart chamber | 42 | $44.4K | $1.1K | 8.57x |
| 33517 | Combined vein and artery heart artery bypass | 314 | $44.3K | $141.09 | 5.90x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 398 | $40.6K | $102.03 | 3.30x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 288 | $39.5K | $137.19 | 3.71x |
| 33365 | Replacement of aortic valve with prosthetic valve | 39 | $31.8K | $815.30 | 9.54x |
| 33519 | Combined multiple vein and artery heart artery bypasses | 61 | $25.7K | $421.00 | 5.74x |
This provider submits charges 6.79 times higher than what Medicare actually pays.
A markup ratio of 6.79x means for every $100 Medicare pays, this provider initially charges $679. 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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