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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. John Hovorka
๐Ÿ”ช
MDIndividual

John Hovorka, M.D.

NPI: 1699710665
Mcallen, TX
10 years of data
General Surgery
$18.9M
Total Payments
17.9K
Beneficiaries
28.1K
Services
3.92x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$18.9M
Specialty median$42.2K

๐Ÿ“‹ Key Findings

1Billed $18.9M over 10 years
23.92x markup ratio (above median)
399th percentile in General Surgery by payments
4Payments surged 347% in 2021
517 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $18.9M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

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 347% in 2021

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$3.0K$428.327.04x$2.6K$1.5M2.7K1.8K
2015$1.3K$409.833.19x$897.84$1.4M2.6K1.7K
2016$2.9K$583.115.05x$2.4K$1.6M3.0K1.7K
2017$3.5K$698.664.95x$2.8K$2.7M2.5K1.7K
2018$1.4K$481.853.00x$962.16$2.9M4.6K2.4K
2019$1.8K$569.473.19x$1.2K$1.8M2.7K1.9K
2020$1.9K$520.013.59x$1.3K$640.0K2.1K1.6K
2021$1.9K$596.943.15x$1.3K$2.9M3.5K2.3K
2022$2.0K$623.863.19x$1.4K$1.9M2.3K1.5K
2023$1.8K$567.623.14x$1.2K$1.5M2.1K1.3K

Top Procedures (20)

37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedureโš  4.0x markup
$8.1M
1.3K services$6.2K/svc4.02x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedureโš  4.1x markup
$6.9M
1.1K services$6.2K/svc4.08x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatmentโš  3.6x markup
$961.8K
1.0K services$923.92/svc3.60x markup
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedureโš  3.1x markup
$716.5K
759 services$943.98/svc3.08x markup
37186Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed beneath the skin
$309.3K
323 services$957.73/svc2.52x markup
93925Ultrasound study of arteries and arterial grafts of both legsโš  3.4x markup
$246.8K
1.4K services$176.18/svc3.42x markup
93923Ultrasound study of arteries of both arms and legsโš  4.3x markup
$204.1K
2.3K services$87.20/svc4.30x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  3.3x markup
$179.3K
3.1K services$57.77/svc3.31x markup
75710Radiological supervision and interpretation of imaging of artery of one arm or legโš  3.1x markup
$138.9K
1.1K services$121.46/svc3.08x markup
37253Ultrasound evaluation of blood vessel during diagnosis or treatmentโš  3.5x markup
$137.4K
940 services$146.18/svc3.45x markup
99214Established patient office or other outpatient, visit typically 25 minutesโš  3.1x markup
$118.9K
1.4K services$83.72/svc3.08x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$75.7K
685 services$110.55/svc2.55x markup
76970Ultrasound follow-up studyโš  3.7x markup
$74.3K
1.1K services$65.90/svc3.69x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  3.9x markup
$68.2K
495 services$137.78/svc3.89x markup
99183Management and supervision of oxygen chamber therapy per sessionโš  5.1x markup
$68.0K
780 services$87.18/svc5.08x markup
29581Application of vein wound compression system lower leg below knee including ankle and footโš  3.9x markup
$65.6K
1.0K services$63.04/svc3.87x markup
93926Ultrasound study of arteries and arterial grafts of one leg or limitedโš  3.1x markup
$62.9K
657 services$95.66/svc3.07x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$60.0K
1.1K services$56.38/svc2.72x markup
76937Ultrasound guidance for accessing into blood vesselโš  3.4x markup
$35.0K
1.4K services$25.59/svc3.44x markup
99203New patient office or other outpatient visit, typically 30 minutesโš  3.3x markup
$26.5K
325 services$81.40/svc3.28x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure1.3K$8.1M$6.2K4.02x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure1.1K$6.9M$6.2K4.08x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment1.0K$961.8K$923.923.60x
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure759$716.5K$943.983.08x
37186Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed beneath the skin323$309.3K$957.732.52x
93925Ultrasound study of arteries and arterial grafts of both legs1.4K$246.8K$176.183.42x
93923Ultrasound study of arteries of both arms and legs2.3K$204.1K$87.204.30x
99213Established patient office or other outpatient visit, typically 15 minutes3.1K$179.3K$57.773.31x
75710Radiological supervision and interpretation of imaging of artery of one arm or leg1.1K$138.9K$121.463.08x
37253Ultrasound evaluation of blood vessel during diagnosis or treatment940$137.4K$146.183.45x
99214Established patient office or other outpatient, visit typically 25 minutes1.4K$118.9K$83.723.08x
99215Established patient office or other outpatient, visit typically 40 minutes685$75.7K$110.552.55x
76970Ultrasound follow-up study1.1K$74.3K$65.903.69x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers495$68.2K$137.783.89x
99183Management and supervision of oxygen chamber therapy per session780$68.0K$87.185.08x
29581Application of vein wound compression system lower leg below knee including ankle and foot1.0K$65.6K$63.043.87x
93926Ultrasound study of arteries and arterial grafts of one leg or limited657$62.9K$95.663.07x
99232Subsequent hospital inpatient care, typically 25 minutes per day1.1K$60.0K$56.382.72x
76937Ultrasound guidance for accessing into blood vessel1.4K$35.0K$25.593.44x
99203New patient office or other outpatient visit, typically 30 minutes325$26.5K$81.403.28x

Markup Analysis

Charge-to-Payment Ratio

3.92x

This provider submits charges 3.92 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.92x means for every $100 Medicare pays, this provider initially charges $392. This is higher than the national average.

Location

Mcallen, TX

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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