This provider's $4.8M in total Medicare payments ranks in the 98th percentile of Peripheral Vascular Disease providers nationally.
Medicare payments to this provider grew 51% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 143% 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 | $1.5K | $523.01 | 2.93x | $1.0K | $280.3K | 1.4K | 883 |
| 2015 | $994.18 | $247.62 | 4.01x | $746.56 | $340.5K | 2.2K | 1.3K |
| 2016 | $1.2K | $307.39 | 4.03x | $929.99 | $422.7K | 2.4K | 1.5K |
| 2017 | $1.3K | $310.18 | 4.30x | $1.0K | $409.9K | 2.3K | 1.5K |
| 2018 | $1.2K | $351.85 | 3.53x | $891.48 | $571.8K | 2.3K | 1.5K |
| 2019 | $1.1K | $342.17 | 3.07x | $707.98 | $1.4M | 3.2K | 1.9K |
| 2020 | $737.66 | $269.99 | 2.73x | $467.67 | $163.1K | 727 | 538 |
| 2021 | $929.95 | $297.45 | 3.13x | $632.50 | $294.9K | 1.4K | 774 |
| 2022 | $887.86 | $253.78 | 3.50x | $634.08 | $516.9K | 2.9K | 1.5K |
| 2023 | $826.12 | $228.57 | 3.61x | $597.55 | $422.9K | 3.0K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.1K | $1.1M | $977.07 | 3.89x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 751 | $882.0K | $1.2K | 3.02x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 4.6K | $613.4K | $132.55 | 2.63x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 559 | $585.4K | $1.0K | 2.93x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.6K | $353.7K | $53.94 | 2.30x |
| 37799 | Blood vessel procedure | 287 | $300.8K | $1.0K | 4.29x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 3.3K | $271.5K | $81.69 | 2.72x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 260 | $219.1K | $842.68 | 4.40x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 810 | $109.0K | $134.58 | 2.48x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $100.8K | $71.62 | 2.46x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 30 | $99.7K | $3.3K | 2.40x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 883 | $68.6K | $77.67 | 2.15x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 815 | $35.4K | $43.39 | 4.23x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 286 | $32.0K | $112.01 | 2.99x |
| 10160 | Aspiration of abscess, blood accumulation, blister, or cyst | 208 | $15.6K | $75.05 | 3.25x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 26 | $4.0K | $154.78 | 4.85x |
| 93979 | Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan | 39 | $3.2K | $82.58 | 4.38x |
| 36476 | Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 15 | $3.2K | $212.54 | 3.06x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 19 | $2.3K | $122.92 | 3.31x |
| 36470 | Injection of chemical agent into single vein | 11 | $1.2K | $111.30 | 2.04x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. 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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