This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 143% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 92% in 2018
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $613.87 | $179.82 | 3.41x | $434.05 | $299.0K | 1.6K | 856 |
| 2015 | $613.64 | $166.83 | 3.68x | $446.81 | $413.6K | 2.3K | 1.2K |
| 2016 | $590.58 | $163.86 | 3.60x | $426.72 | $490.8K | 2.9K | 1.2K |
| 2017 | $629.99 | $171.17 | 3.68x | $458.82 | $424.3K | 2.5K | 1.2K |
| 2018 | $832.50 | $243.90 | 3.41x | $588.60 | $813.1K | 3.3K | 1.6K |
| 2019 | $1.1K | $344.73 | 3.24x | $772.42 | $1.2M | 5.1K | 2.1K |
| 2020 | $1.2K | $371.00 | 3.22x | $824.90 | $986.2K | 4.4K | 1.8K |
| 2021 | $1.0K | $299.60 | 3.49x | $746.51 | $913.4K | 4.0K | 1.8K |
| 2022 | $1.2K | $347.95 | 3.44x | $847.96 | $986.4K | 4.2K | 1.9K |
| 2023 | $1.2K | $314.41 | 3.75x | $865.24 | $725.1K | 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 | 3.4K | $2.9M | $854.09 | 4.94x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 1.4K | $1.5M | $1.1K | 2.68x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 6.0K | $843.2K | $139.67 | 2.86x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 8.7K | $781.7K | $89.80 | 3.06x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 3.0K | $425.8K | $139.88 | 2.33x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.2K | $313.8K | $60.06 | 1.83x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 2.9K | $133.6K | $45.66 | 9.31x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 91 | $107.3K | $1.2K | 2.97x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $107.1K | $81.99 | 2.44x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 672 | $61.9K | $92.09 | 1.95x |
| 93922 | Ultrasound study of arteries of both arms and legs | 575 | $29.1K | $50.57 | 4.94x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 177 | $22.2K | $125.59 | 1.91x |
| 36479 | Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 52 | $14.2K | $272.32 | 3.67x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 110 | $3.6K | $32.57 | 2.61x |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 11 | $194.48 | $17.68 | 3.39x |
This provider submits charges 3.71 times higher than what Medicare actually pays.
A markup ratio of 3.71x means for every $100 Medicare pays, this provider initially charges $371. 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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