This provider's $24.8M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
Their average markup ratio of 6.17x is significantly above the specialty median of 4.7x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 106% 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 | $3.2K | $503.66 | 6.38x | $2.7K | $1.8M | 11.4K | 8.6K |
| 2015 | $3.1K | $550.65 | 5.67x | $2.6K | $1.8M | 11.7K | 9.0K |
| 2016 | $3.0K | $485.91 | 6.15x | $2.5K | $1.6M | 11.1K | 8.5K |
| 2017 | $3.7K | $572.25 | 6.51x | $3.2K | $1.6M | 9.1K | 7.1K |
| 2018 | $5.7K | $789.95 | 7.25x | $4.9K | $2.4M | 7.9K | 6.1K |
| 2019 | $6.5K | $920.95 | 7.01x | $5.5K | $5.0M | 8.1K | 5.9K |
| 2020 | $7.2K | $1.0K | 7.17x | $6.2K | $4.4M | 6.9K | 5.0K |
| 2021 | $8.4K | $1.1K | 7.34x | $7.2K | $3.2M | 4.8K | 3.5K |
| 2022 | $8.0K | $1.1K | 7.11x | $6.9K | $2.7M | 6.9K | 4.1K |
| 2023 | $2.6K | $442.41 | 5.96x | $2.2K | $337.4K | 3.0K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 1.0K | $6.6M | $6.4K | 6.64x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 501 | $2.8M | $5.6K | 6.86x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 623 | $2.7M | $4.3K | 7.51x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 543 | $2.6M | $4.7K | 7.21x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 11.1K | $1.9M | $167.56 | 3.17x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 601 | $1.2M | $2.0K | 7.26x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 8.4K | $937.6K | $111.94 | 4.66x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 6.8K | $787.2K | $116.48 | 4.40x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 631 | $521.4K | $826.23 | 7.23x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.8K | $457.7K | $52.10 | 2.37x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $368.3K | $80.52 | 2.54x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 290 | $280.0K | $965.42 | 9.14x |
| 35301 | Removal of blood clot and portion of artery of neck | 250 | $227.8K | $911.29 | 3.45x |
| 37230 | Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 92 | $216.3K | $2.4K | 6.50x |
| 37226 | Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 94 | $197.8K | $2.1K | 7.53x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $197.5K | $152.96 | 2.06x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 1.9K | $171.8K | $92.74 | 17.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $142.4K | $118.21 | 2.69x |
| 36222 | Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation | 163 | $124.9K | $766.26 | 6.06x |
| 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 1.3K | $117.9K | $93.68 | 3.61x |
This provider submits charges 6.17 times higher than what Medicare actually pays.
A markup ratio of 6.17x means for every $100 Medicare pays, this provider initially charges $617. 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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