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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.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Julio Sanguily
๐Ÿ”ช
MDIndividual

Julio Sanguily, M.D.

NPI: 1699783241
West Palm Beach, FL
10 years of data
General Surgery
$9.2M
Total Payments
18.4K
Beneficiaries
22.6K
Services
3.17x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$9.2M
Specialty median$42.2K

๐Ÿ“‹ Key Findings

1Billed $9.2M over 10 years
23.17x markup ratio (above median)
399th percentile in General Surgery by payments
4Payments surged 8640% in 2020
513 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $9.2M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.

Medicare payments to this provider grew 324% 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 8640% in 2020

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$927.15$213.444.34x$713.71$352.5K2.0K1.7K
2015$895.82$191.824.67x$704.00$318.5K1.9K1.7K
2016$785.46$169.864.62x$615.60$319.7K2.2K1.8K
2017$946.08$209.664.51x$736.42$288.4K2.1K1.8K
2018$668.99$193.403.46x$475.59$211.2K1.6K1.4K
2019$425.05$117.883.61x$307.17$24.8K229199
2020$4.9K$1.4K3.44x$3.5K$2.2M2.8K2.1K
2021$4.4K$1.6K2.84x$2.9K$2.1M3.1K2.3K
2022$3.2K$1.1K2.86x$2.0K$1.9M3.4K2.7K
2023$3.4K$1.1K3.00x$2.3K$1.5M3.2K2.6K

Top Procedures (20)

37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure
$2.6M
687 services$3.7K/svc3.00x markup
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedureโš  3.0x markup
$1.6M
241 services$6.8K/svc3.05x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedureโš  3.3x markup
$1.5M
577 services$2.6K/svc3.33x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatment
$294.0K
325 services$904.56/svc2.17x markup
93925Ultrasound study of arteries and arterial grafts of both legsโš  3.1x markup
$280.0K
1.4K services$202.32/svc3.15x markup
99204New patient office or other outpatient visit, typically 45 minutesโš  3.1x markup
$262.1K
2.0K services$133.64/svc3.11x markup
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure
$217.4K
336 services$647.01/svc2.95x markup
99214Established patient office or other outpatient, visit typically 25 minutesโš  3.0x markup
$202.1K
2.2K services$92.87/svc3.05x markup
35301Removal of blood clot and portion of artery of neckโš  3.3x markup
$167.3K
162 services$1.0K/svc3.28x markup
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation
$165.0K
49 services$3.4K/svc2.77x markup
37231Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure
$130.3K
11 services$11.8K/svc2.57x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  3.2x markup
$122.7K
1.9K services$65.00/svc3.19x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  3.2x markup
$106.0K
676 services$156.87/svc3.18x markup
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidanceโš  3.0x markup
$103.2K
71 services$1.5K/svc3.02x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skinโš  3.0x markup
$98.8K
95 services$1.0K/svc3.03x markup
75710Radiological supervision and interpretation of imaging of artery of one arm or legโš  3.2x markup
$93.4K
1.4K services$67.07/svc3.19x markup
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure
$84.8K
139 services$610.17/svc2.29x markup
37226Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure
$77.3K
203 services$380.57/svc2.68x markup
99223Initial hospital inpatient care, typically 70 minutes per dayโš  5.1x markup
$73.6K
444 services$165.84/svc5.13x markup
36200Insertion of catheter into aortaโš  3.9x markup
$64.7K
255 services$253.70/svc3.89x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure687$2.6M$3.7K3.00x
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure241$1.6M$6.8K3.05x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure577$1.5M$2.6K3.33x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment325$294.0K$904.562.17x
93925Ultrasound study of arteries and arterial grafts of both legs1.4K$280.0K$202.323.15x
99204New patient office or other outpatient visit, typically 45 minutes2.0K$262.1K$133.643.11x
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure336$217.4K$647.012.95x
99214Established patient office or other outpatient, visit typically 25 minutes2.2K$202.1K$92.873.05x
35301Removal of blood clot and portion of artery of neck162$167.3K$1.0K3.28x
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation49$165.0K$3.4K2.77x
37231Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure11$130.3K$11.8K2.57x
99213Established patient office or other outpatient visit, typically 15 minutes1.9K$122.7K$65.003.19x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers676$106.0K$156.873.18x
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance71$103.2K$1.5K3.02x
36475Destruction of insufficient vein of arm or leg, accessed through the skin95$98.8K$1.0K3.03x
75710Radiological supervision and interpretation of imaging of artery of one arm or leg1.4K$93.4K$67.073.19x
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure139$84.8K$610.172.29x
37226Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure203$77.3K$380.572.68x
99223Initial hospital inpatient care, typically 70 minutes per day444$73.6K$165.845.13x
36200Insertion of catheter into aorta255$64.7K$253.703.89x

Markup Analysis

Charge-to-Payment Ratio

3.17x

This provider submits charges 3.17 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.17x means for every $100 Medicare pays, this provider initially charges $317. This is higher than the national average.

Location

West Palm Beach, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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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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