This provider's $3.6M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Their average markup ratio of 5.2x is significantly above the specialty median of 4.1x.
AI-generated analysis based on Medicare payment data.
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 | $737.41 | $169.79 | 4.34x | $567.62 | $330.4K | 2.7K | 1.2K |
| 2015 | $837.39 | $166.81 | 5.02x | $670.58 | $276.0K | 2.3K | 1.1K |
| 2016 | $939.41 | $179.70 | 5.23x | $759.71 | $256.9K | 1.8K | 1.1K |
| 2017 | $705.50 | $158.15 | 4.46x | $547.35 | $301.1K | 1.9K | 1.1K |
| 2018 | $1.2K | $238.84 | 4.82x | $912.49 | $373.0K | 1.9K | 1.2K |
| 2019 | $1.5K | $333.93 | 4.45x | $1.2K | $394.9K | 1.7K | 1.1K |
| 2020 | $842.59 | $174.65 | 4.82x | $667.94 | $404.4K | 1.8K | 969 |
| 2021 | $918.21 | $180.62 | 5.08x | $737.59 | $483.6K | 1.6K | 874 |
| 2022 | $1.3K | $235.05 | 5.73x | $1.1K | $393.3K | 1.5K | 832 |
| 2023 | $1.3K | $211.80 | 6.16x | $1.1K | $420.5K | 1.6K | 854 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 2.1K | $2.1M | $961.28 | 6.56x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 3.3K | $414.7K | $127.18 | 4.69x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.3K | $335.4K | $77.11 | 2.14x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.9K | $154.7K | $52.49 | 2.00x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.8K | $154.0K | $85.68 | 4.67x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $143.2K | $118.47 | 2.02x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 72 | $106.6K | $1.5K | 4.05x |
| 29580 | Strapping, Unna boot | 823 | $39.3K | $47.72 | 3.45x |
| 47562 | Removal of gallbladder using an endoscope | 77 | $38.2K | $496.35 | 6.29x |
| 37765 | Multiple incisions for removal of varicose veins of arm or leg | 78 | $35.0K | $448.89 | 3.56x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 221 | $33.7K | $152.47 | 2.13x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 237 | $18.6K | $78.51 | 2.42x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 191 | $18.3K | $95.94 | 2.50x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 201 | $17.5K | $86.92 | 4.02x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 126 | $13.1K | $104.26 | 2.33x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 227 | $12.6K | $55.64 | 2.12x |
| 36470 | Injection of chemical agent into single vein | 100 | $11.0K | $109.64 | 2.51x |
| 49650 | Repair of groin hernia using an endoscope | 24 | $8.9K | $371.43 | 7.57x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 286 | $8.7K | $30.39 | 2.57x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 189 | $8.6K | $45.46 | 5.83x |
This provider submits charges 5.2 times higher than what Medicare actually pays.
A markup ratio of 5.2x means for every $100 Medicare pays, this provider initially charges $520. 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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