This provider's $8.4M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
Their average markup ratio of 8.48x is significantly above the specialty median of 4.7x.
Medicare payments to this provider grew 741% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 229% in 2019
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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $2.3K | $135.54 | 16.72x | $2.1K | $188.1K | 2.2K | 1.6K |
| 2015 | $3.2K | $184.99 | 17.49x | $3.1K | $196.6K | 1.9K | 1.2K |
| 2016 | $3.9K | $155.80 | 25.28x | $3.8K | $156.3K | 1.6K | 1.1K |
| 2017 | $2.9K | $147.21 | 19.65x | $2.7K | $141.1K | 1.5K | 965 |
| 2018 | $2.5K | $102.91 | 24.73x | $2.4K | $179.9K | 1.7K | 972 |
| 2019 | $5.7K | $687.82 | 8.22x | $5.0K | $591.4K | 1.4K | 1.1K |
| 2020 | $6.4K | $678.23 | 9.45x | $5.7K | $967.7K | 2.0K | 1.4K |
| 2021 | $8.7K | $935.82 | 9.28x | $7.7K | $2.4M | 4.1K | 2.5K |
| 2022 | $9.8K | $881.14 | 11.15x | $8.9K | $2.0M | 3.3K | 2.0K |
| 2023 | $8.8K | $971.52 | 9.11x | $7.9K | $1.6M | 2.6K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 375 | $3.0M | $8.1K | 3.70x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 304 | $1.8M | $5.8K | 5.14x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 73 | $796.1K | $10.9K | 4.13x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 410 | $384.7K | $938.38 | 16.03x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 1.8K | $308.3K | $172.90 | 11.84x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.8K | $279.1K | $57.81 | 6.24x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.4K | $253.7K | $107.51 | 6.61x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $163.2K | $97.86 | 7.49x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $135.9K | $132.50 | 6.91x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 562 | $129.0K | $229.56 | 49.01x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 127 | $121.3K | $955.08 | 27.61x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 93 | $101.3K | $1.1K | 26.28x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 93 | $95.8K | $1.0K | 14.44x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 765 | $62.6K | $81.86 | 8.10x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 110 | $62.1K | $564.73 | 27.70x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 53 | $61.7K | $1.2K | 29.34x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 368 | $55.8K | $151.62 | 28.67x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 711 | $55.5K | $78.10 | 15.43x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 310 | $54.2K | $174.71 | 10.00x |
| 31600 | Opening of windpipe through neck for insertion of breathing tube | 148 | $40.8K | $275.86 | 16.27x |
This provider submits charges 8.48 times higher than what Medicare actually pays.
A markup ratio of 8.48x means for every $100 Medicare pays, this provider initially charges $848. 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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