This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.
Medicare payments to this provider grew 289% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 81% in 2016
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 | $291.67 | $53.72 | 5.43x | $237.95 | $205.3K | 6.2K | 5.5K |
| 2015 | $1.4K | $378.71 | 3.72x | $1.0K | $362.1K | 756 | 306 |
| 2016 | $1.3K | $332.19 | 3.85x | $947.44 | $656.5K | 2.2K | 1.2K |
| 2017 | $1.6K | $416.56 | 3.75x | $1.1K | $989.4K | 3.7K | 2.0K |
| 2018 | $1.6K | $474.57 | 3.39x | $1.1K | $1.1M | 4.5K | 2.5K |
| 2019 | $1.6K | $457.02 | 3.52x | $1.2K | $1.0M | 4.3K | 2.6K |
| 2020 | $1.5K | $409.54 | 3.57x | $1.1K | $586.3K | 2.5K | 1.7K |
| 2021 | $1.0K | $327.17 | 3.13x | $696.95 | $787.0K | 3.4K | 2.3K |
| 2022 | $631.18 | $165.56 | 3.81x | $465.62 | $751.1K | 3.6K | 2.5K |
| 2023 | $608.91 | $155.31 | 3.92x | $453.60 | $798.8K | 4.0K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.9K | $2.3M | $1.2K | 4.22x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 8.5K | $1.4M | $168.59 | 3.31x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 8.5K | $896.3K | $105.77 | 3.36x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 418 | $548.8K | $1.3K | 2.51x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 475 | $497.8K | $1.0K | 4.03x |
| 36473 | Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 369 | $489.5K | $1.3K | 3.24x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 1.5K | $231.1K | $153.95 | 4.01x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $203.3K | $135.05 | 3.33x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.5K | $135.2K | $90.97 | 3.19x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 504 | $92.4K | $183.37 | 3.11x |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | 597 | $89.9K | $150.52 | 2.59x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.5K | $75.0K | $49.73 | 11.48x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 37 | $54.7K | $1.5K | 2.37x |
| 36470 | Injection of chemical agent into single incompetent vein | 440 | $33.3K | $75.71 | 5.28x |
| 74176 | CT scan of abdomen and pelvis | 294 | $21.3K | $72.35 | 4.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 316 | $20.7K | $65.42 | 2.90x |
| 70450 | CT scan head or brain | 554 | $18.2K | $32.88 | 6.84x |
| 93976 | Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 149 | $18.1K | $121.58 | 4.07x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 165 | $14.5K | $87.59 | 3.31x |
| 71010 | X-ray of chest, 1 view, front | 1.4K | $10.4K | $7.56 | 3.97x |
This provider submits charges 3.73 times higher than what Medicare actually pays.
A markup ratio of 3.73x means for every $100 Medicare pays, this provider initially charges $373. 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.
Other Interventional Radiology providers in NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Daniel Simon, M.D. | New Brunswick, NJ | $46.1M | ✓ Clear |
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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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