This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Their average markup ratio of 5.63x is significantly above the specialty median of 2.9x.
Medicare payments to this provider grew 47684% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 10538% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $119.47 | $68.09 | 1.75x | $51.38 | $7.8K | 114 | 2 |
| 2022 | $3.0K | $484.03 | 6.16x | $2.5K | $825.8K | 1.7K | 23 |
| 2023 | $2.0K | $360.04 | 5.52x | $1.6K | $3.7M | 10.3K | 48 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery of leg, initial vessel | 159 | $1.2M | $7.8K | 4.58x |
| 37225 | Removal of plaque in arteries of leg | 134 | $644.7K | $4.8K | 7.48x |
| 36247 | Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 685 | $420.1K | $613.26 | 9.78x |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 333 | $262.8K | $789.09 | 6.19x |
| 37238 | Insertion of stent in vein with review by radiologist, initial vein | 61 | $194.2K | $3.2K | 3.93x |
| 37239 | Insertion of stent in vein with review by radiologist, each additional vein | 105 | $165.8K | $1.6K | 3.93x |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 102 | $159.3K | $1.6K | 4.80x |
| 37253 | Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 1.1K | $154.2K | $138.65 | 5.39x |
| 37243 | Occlusion of growths or obstructed vessels with review by radiologist | 13 | $106.1K | $8.2K | 3.06x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 833 | $90.9K | $109.18 | 3.30x |
| 78492 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 63 | $83.4K | $1.3K | 3.40x |
| 36012 | Insertion of tube into vein, second order branch | 162 | $70.3K | $433.69 | 4.61x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 78 | $61.0K | $781.73 | 3.27x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 625 | $60.8K | $97.32 | 4.62x |
| 99291 | Critical care, first 30-74 minutes | 322 | $57.2K | $177.65 | 6.76x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 128 | $52.2K | $407.86 | 3.68x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 349 | $51.0K | $146.14 | 4.10x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 330 | $50.5K | $152.95 | 4.58x |
| 37233 | Removal of plaque in artery of leg, each additional vessel | 58 | $49.6K | $856.01 | 5.79x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 768 | $49.1K | $63.95 | 4.29x |
This provider submits charges 5.63 times higher than what Medicare actually pays.
A markup ratio of 5.63x means for every $100 Medicare pays, this provider initially charges $563. 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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