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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. Chad Laurich
๐Ÿ”ช
MDIndividual

Chad Laurich, MD

NPI: 1750590998
Dakota Dunes, SD
10 years of data
Vascular Surgery
$24.7M
Total Payments
405
Beneficiaries
69.5K
Services
5.23x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$24.7M
Specialty median$184.1K

๐Ÿ“‹ Key Findings

1Billed $24.7M over 10 years
25.23x markup ratio (above median)
399th percentile in Vascular Surgery by payments
4Payments surged 809% in 2019
520 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $24.7M in total Medicare payments ranks in the 99th percentile of Vascular Surgery providers nationally.

Their average markup ratio of 5.23x is significantly above the specialty median of 4.0x.

Medicare payments to this provider grew 1104% 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 809% in 2019

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$552.22$62.718.81x$489.51$268.7K4.3K36
2015$549.82$61.079.00x$488.75$265.5K4.3K33
2016$646.28$64.2410.06x$582.04$302.7K4.7K38
2017$536.22$58.839.11x$477.39$288.7K4.9K34
2018$785.59$131.605.97x$653.99$631.0K4.8K37
2019$1.9K$404.784.74x$1.5K$5.7M14.2K49
2020$2.9K$637.014.63x$2.3K$5.9M9.2K48
2021$2.8K$563.704.96x$2.2K$4.4M7.8K40
2022$2.6K$464.435.59x$2.1K$3.7M8.0K47
2023$2.5K$445.085.60x$2.0K$3.2M7.3K43

Top Procedures (20)

37227Removal of plaque and insertion of stents in arteries of legโš  4.6x markup
$7.7M
732 services$10.5K/svc4.63x markup
37229Removal of plaque in artery of leg, initial vesselโš  4.8x markup
$5.1M
946 services$5.4K/svc4.83x markup
37225Removal of plaque in arteries of legโš  5.0x markup
$3.3M
764 services$4.3K/svc5.03x markup
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vesselโš  5.0x markup
$1.5M
1.6K services$904.96/svc5.05x markup
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vesselโš  5.3x markup
$727.5K
5.0K services$146.90/svc5.35x markup
37221Insertion of stent in groin artery, initial vesselโš  7.3x markup
$727.3K
500 services$1.5K/svc7.26x markup
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidanceโš  4.6x markup
$468.6K
315 services$1.5K/svc4.60x markup
93925Ultrasound of leg arteries or artery graftsโš  4.7x markup
$446.8K
4.4K services$102.53/svc4.65x markup
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidanceโš  14.2x markup
$381.0K
580 services$656.98/svc14.23x markup
37228Balloon dilation of artery of leg, initial vesselโš  7.5x markup
$376.3K
360 services$1.0K/svc7.48x markup
37233Removal of plaque in artery of leg, each additional vesselโš  5.1x markup
$374.3K
389 services$962.08/svc5.09x markup
37236Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial arteryโš  5.8x markup
$303.2K
184 services$1.6K/svc5.85x markup
99213Established patient office or other outpatient visit, 20-29 minutesโš  3.3x markup
$247.8K
5.3K services$46.89/svc3.28x markup
37232Balloon dilation of artery of leg, each additional vesselโš  5.2x markup
$180.7K
312 services$579.18/svc5.21x markup
37220Balloon dilation of groin artery, initial vesselโš  7.5x markup
$164.9K
168 services$981.75/svc7.48x markup
75710Review by radiologist of arm or leg artery imageโš  11.4x markup
$159.3K
1.3K services$119.31/svc11.40x markup
93970Ultrasound study of arm or leg veins with compression and maneuversโš  5.7x markup
$145.8K
3.0K services$49.19/svc5.65x markup
93922Ultrasound study of arm and leg arteriesโš  6.0x markup
$139.6K
5.4K services$26.04/svc5.99x markup
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretationโš  5.1x markup
$135.8K
62 services$2.2K/svc5.07x markup
93880Ultrasound of both sides of head and neck blood flowโš  5.6x markup
$129.5K
2.2K services$58.92/svc5.59x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37227Removal of plaque and insertion of stents in arteries of leg732$7.7M$10.5K4.63x
37229Removal of plaque in artery of leg, initial vessel946$5.1M$5.4K4.83x
37225Removal of plaque in arteries of leg764$3.3M$4.3K5.03x
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vessel1.6K$1.5M$904.965.05x
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel5.0K$727.5K$146.905.35x
37221Insertion of stent in groin artery, initial vessel500$727.3K$1.5K7.26x
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance315$468.6K$1.5K4.60x
93925Ultrasound of leg arteries or artery grafts4.4K$446.8K$102.534.65x
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance580$381.0K$656.9814.23x
37228Balloon dilation of artery of leg, initial vessel360$376.3K$1.0K7.48x
37233Removal of plaque in artery of leg, each additional vessel389$374.3K$962.085.09x
37236Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery184$303.2K$1.6K5.85x
99213Established patient office or other outpatient visit, 20-29 minutes5.3K$247.8K$46.893.28x
37232Balloon dilation of artery of leg, each additional vessel312$180.7K$579.185.21x
37220Balloon dilation of groin artery, initial vessel168$164.9K$981.757.48x
75710Review by radiologist of arm or leg artery image1.3K$159.3K$119.3111.40x
93970Ultrasound study of arm or leg veins with compression and maneuvers3.0K$145.8K$49.195.65x
93922Ultrasound study of arm and leg arteries5.4K$139.6K$26.045.99x
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation62$135.8K$2.2K5.07x
93880Ultrasound of both sides of head and neck blood flow2.2K$129.5K$58.925.59x

Markup Analysis

Charge-to-Payment Ratio

5.23x

This provider submits charges 5.23 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.23x means for every $100 Medicare pays, this provider initially charges $523. This is higher than the national average.

Location

Dakota Dunes, SD

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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