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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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Methodology•Download Data
  1. Home
  2. Providers
  3. Priya Thirumlai
⚕️
MDIndividual

Priya Thirumlai, MD

NPI: 1699807156
Severn, MD
9 years of data
Obstetrics & Gynecology
$5.8M
Total Payments
11.4K
Beneficiaries
17.7K
Services
3.56x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.8M
Specialty median$14.0K

📋 Key Findings

1Billed $5.8M over 9 years
23.56x markup ratio (above median)
399th percentile in Obstetrics & Gynecology by payments
4Payments surged 197% in 2016
513 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Obstetrics & Gynecology providers nationally.

Medicare payments to this provider grew 469% from 2015 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 197% in 2016

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 — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2015$1.6K$413.843.97x$1.2K$153.2K241176
2016$1.3K$326.783.91x$951.92$455.2K1.0K684
2017$1.5K$400.843.74x$1.1K$507.6K1.4K959
2018$1.8K$547.403.21x$1.2K$828.8K1.6K1.1K
2019$1.3K$394.893.37x$934.94$707.9K1.6K1.1K
2020$1.3K$362.913.48x$900.02$491.9K1.2K895
2021$1.6K$482.713.34x$1.1K$842.2K2.3K1.6K
2022$1.3K$365.583.62x$956.70$923.8K4.0K2.5K
2023$1.2K$328.333.77x$909.72$871.4K4.3K2.5K

Top Procedures (20)

36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance
$1.3M
991 services$1.3K/svc2.46x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin⚠ 4.1x markup
$1.3M
1.0K services$1.3K/svc4.10x markup
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin⚠ 3.9x markup
$737.6K
686 services$1.1K/svc3.86x markup
36471Injection of chemical agent into multiple veins of same leg⚠ 4.0x markup
$516.4K
3.2K services$163.90/svc3.95x markup
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance
$503.3K
308 services$1.6K/svc2.75x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers⚠ 3.7x markup
$242.2K
1.6K services$152.63/svc3.67x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 3.2x markup
$225.4K
1.6K services$139.77/svc3.22x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers⚠ 3.5x markup
$184.2K
1.8K services$102.01/svc3.53x markup
37799Blood vessel procedure⚠ 5.5x markup
$162.7K
602 services$270.22/svc5.55x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$122.4K
1.8K services$67.24/svc2.83x markup
36473Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance⚠ 3.1x markup
$98.8K
71 services$1.4K/svc3.09x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle⚠ 12.2x markup
$82.6K
1.7K services$50.04/svc12.19x markup
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance
$75.2K
57 services$1.3K/svc2.65x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$57.8K
577 services$100.19/svc2.89x markup
36470Injection of chemical agent into single incompetent vein⚠ 4.3x markup
$38.8K
413 services$93.94/svc4.26x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$32.0K
753 services$42.48/svc2.82x markup
37765Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions⚠ 5.1x markup
$24.0K
89 services$269.33/svc5.12x markup
99203New patient office or other outpatient visit, typically 30 minutes⚠ 3.1x markup
$23.0K
247 services$93.05/svc3.12x markup
99205New patient outpatient visit, total time 60-74 minutes
$11.1K
58 services$191.98/svc2.97x markup
99202New patient office or other outpatient visit, typically 20 minutes⚠ 3.1x markup
$8.1K
127 services$63.68/svc3.14x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance991$1.3M$1.3K2.46x
36475Destruction of insufficient vein of arm or leg, accessed through the skin1.0K$1.3M$1.3K4.10x
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin686$737.6K$1.1K3.86x
36471Injection of chemical agent into multiple veins of same leg3.2K$516.4K$163.903.95x
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance308$503.3K$1.6K2.75x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers1.6K$242.2K$152.633.67x
99204New patient office or other outpatient visit, typically 45 minutes1.6K$225.4K$139.773.22x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1.8K$184.2K$102.013.53x
37799Blood vessel procedure602$162.7K$270.225.55x
99213Established patient office or other outpatient visit, typically 15 minutes1.8K$122.4K$67.242.83x
36473Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance71$98.8K$1.4K3.09x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1.7K$82.6K$50.0412.19x
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance57$75.2K$1.3K2.65x
99214Established patient office or other outpatient, visit typically 25 minutes577$57.8K$100.192.89x
36470Injection of chemical agent into single incompetent vein413$38.8K$93.944.26x
99212Established patient office or other outpatient visit, typically 10 minutes753$32.0K$42.482.82x
37765Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions89$24.0K$269.335.12x
99203New patient office or other outpatient visit, typically 30 minutes247$23.0K$93.053.12x
99205New patient outpatient visit, total time 60-74 minutes58$11.1K$191.982.97x
99202New patient office or other outpatient visit, typically 20 minutes127$8.1K$63.683.14x

Markup Analysis

Charge-to-Payment Ratio

3.56x

This provider submits charges 3.56 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.56x means for every $100 Medicare pays, this provider initially charges $356. This is higher than the national average.

Location

Severn, MD

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

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • 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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