This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery 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 | $1.5K | $377.10 | 3.89x | $1.1K | $513.4K | 2.4K | 2.0K |
| 2015 | $1.4K | $351.32 | 3.96x | $1.0K | $544.7K | 2.3K | 1.9K |
| 2016 | $1.8K | $453.04 | 3.90x | $1.3K | $476.0K | 1.9K | 1.6K |
| 2017 | $1.4K | $364.57 | 3.78x | $1.0K | $528.7K | 1.9K | 1.7K |
| 2018 | $1.8K | $466.49 | 3.75x | $1.3K | $474.8K | 1.5K | 1.3K |
| 2019 | $1.8K | $458.66 | 3.82x | $1.3K | $529.3K | 1.7K | 1.5K |
| 2020 | $1.9K | $514.43 | 3.70x | $1.4K | $510.1K | 1.4K | 1.2K |
| 2021 | $2.2K | $575.59 | 3.86x | $1.6K | $406.4K | 1.2K | 1.1K |
| 2022 | $2.1K | $540.33 | 3.86x | $1.5K | $403.9K | 1.2K | 1.1K |
| 2023 | $2.2K | $564.87 | 3.97x | $1.7K | $422.4K | 1.3K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33533 | Heart artery bypass to repair one artery | 1.6K | $2.2M | $1.3K | 3.92x |
| 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 260 | $428.0K | $1.6K | 3.90x |
| 33430 | Replacement of valve between left upper and lower chambers on heart-lung machine | 161 | $341.4K | $2.1K | 3.74x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 501 | $312.1K | $622.91 | 5.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.2K | $254.5K | $49.12 | 2.04x |
| 33519 | Combined multiple vein and artery heart artery bypasses | 498 | $206.2K | $414.15 | 3.61x |
| 33518 | Combined multiple vein and artery heart artery bypasses | 654 | $206.2K | $315.32 | 3.56x |
| 35301 | Removal of blood clot and portion of artery of neck | 223 | $191.4K | $858.17 | 3.47x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $176.4K | $104.12 | 2.21x |
| 33257 | Destruction and reconstruction of right upper heart | 276 | $122.7K | $444.40 | 3.72x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 607 | $90.4K | $148.96 | 1.95x |
| 33517 | Combined vein and artery heart artery bypass | 309 | $44.8K | $144.95 | 3.57x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.3K | $36.9K | $27.84 | 2.15x |
| 33426 | Insertion of artificial valve between left heart chambers on heart-lung machine | 20 | $36.7K | $1.8K | 3.59x |
| 33511 | Heart artery bypass to repair multiple arteries | 22 | $27.9K | $1.3K | 4.65x |
| 33508 | Harvest of veins for coronary artery bypass procedure using an endoscope | 1.7K | $21.0K | $12.36 | 3.72x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 371 | $18.3K | $49.27 | 2.13x |
| 33521 | Combined multiple vein and artery heart artery bypasses | 35 | $17.3K | $493.45 | 3.67x |
| 33510 | Heart artery bypass to repair one artery | 14 | $14.9K | $1.1K | 5.09x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 209 | $13.3K | $63.70 | 2.43x |
This provider submits charges 3.76 times higher than what Medicare actually pays.
A markup ratio of 3.76x means for every $100 Medicare pays, this provider initially charges $376. 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