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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Elizabeth Pensler
๐Ÿ”ช
DOIndividual

Elizabeth Pensler, D.O.

NPI: 1659577963
Ferndale, MI
10 years of data
Vascular Surgery
$3.3M
Total Payments
5.4K
Beneficiaries
9.1K
Services
2.62x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$3.3M
Specialty median$184.1K

๐Ÿ“‹ Key Findings

1Billed $3.3M over 10 years
22.62x markup ratio (above median)
397th percentile in Vascular Surgery by payments
4Payments surged 1504% in 2017
52 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $3.3M in total Medicare payments ranks in the 97th percentile of Vascular Surgery providers nationally.

Medicare payments to this provider grew 11625% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 1504% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$439.89$120.393.65x$319.50$6.5K5553
2015$713.89$182.423.91x$531.47$61.8K381317
2016$186.82$93.262.00x$93.56$25.1K265161
2017$573.34$214.062.68x$359.28$401.8K1.3K799
2018$835.59$320.162.61x$515.43$297.0K778549
2019$748.25$298.152.51x$450.10$253.7K660305
2020$715.76$316.782.26x$398.98$215.3K604300
2021$1.2K$544.832.23x$668.45$661.0K1.5K806
2022$2.1K$563.173.66x$1.5K$572.1K1.4K749
2023$1.0K$372.132.81x$673.08$759.9K2.1K1.3K

Top Procedures (20)

36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance
$820.0K
742 services$1.1K/svc2.46x markup
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance
$721.2K
540 services$1.3K/svc2.41x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin
$410.9K
355 services$1.2K/svc2.76x markup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure
$259.4K
36 services$7.2K/svc2.83x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$128.6K
875 services$147.02/svc2.72x markup
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretationโš  3.2x markup
$109.1K
81 services$1.3K/svc3.19x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatment, initial vessel
$88.0K
110 services$799.92/svc2.50x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$81.0K
912 services$88.83/svc1.97x markup
37225Removal of plaque in arteries of legโš  5.1x markup
$64.4K
15 services$4.3K/svc5.14x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
$59.9K
633 services$94.56/svc2.64x markup
99204New patient office or other outpatient visit, typically 45 minutes
$58.1K
468 services$124.16/svc2.20x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$56.5K
350 services$161.52/svc1.88x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$49.9K
736 services$67.75/svc1.78x markup
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin
$43.8K
47 services$931.28/svc2.68x markup
36471Injection of chemical agent into multiple veins of same leg
$37.8K
270 services$140.18/svc2.70x markup
37239Insertion of stent in vein with review by radiologist, each additional vein
$27.5K
17 services$1.6K/svc2.72x markup
93978Ultrasound scan of vena cava or groin graft or vessel blood flow
$27.0K
183 services$147.37/svc2.80x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$17.6K
207 services$84.99/svc1.62x markup
37253Ultrasound evaluation of blood vessel during diagnosis or treatment, each additional vessel
$15.5K
109 services$141.85/svc2.89x markup
29580Strapping, Unna boot
$15.4K
323 services$47.54/svc2.45x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance742$820.0K$1.1K2.46x
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance540$721.2K$1.3K2.41x
36475Destruction of insufficient vein of arm or leg, accessed through the skin355$410.9K$1.2K2.76x
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure36$259.4K$7.2K2.83x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers875$128.6K$147.022.72x
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation81$109.1K$1.3K3.19x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment, initial vessel110$88.0K$799.922.50x
99214Established patient office or other outpatient, visit typically 25 minutes912$81.0K$88.831.97x
37225Removal of plaque in arteries of leg15$64.4K$4.3K5.14x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers633$59.9K$94.562.64x
99204New patient office or other outpatient visit, typically 45 minutes468$58.1K$124.162.20x
99223Initial hospital inpatient care, typically 70 minutes per day350$56.5K$161.521.88x
99213Established patient office or other outpatient visit, typically 15 minutes736$49.9K$67.751.78x
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin47$43.8K$931.282.68x
36471Injection of chemical agent into multiple veins of same leg270$37.8K$140.182.70x
37239Insertion of stent in vein with review by radiologist, each additional vein17$27.5K$1.6K2.72x
93978Ultrasound scan of vena cava or groin graft or vessel blood flow183$27.0K$147.372.80x
99233Subsequent hospital inpatient care, typically 35 minutes per day207$17.6K$84.991.62x
37253Ultrasound evaluation of blood vessel during diagnosis or treatment, each additional vessel109$15.5K$141.852.89x
29580Strapping, Unna boot323$15.4K$47.542.45x

Markup Analysis

Charge-to-Payment Ratio

2.62x

This provider submits charges 2.62 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. This is higher than the national average.

Location

Ferndale, MI

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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