This provider's $20.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 1605% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 308% in 2016
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 | $1.2K | $586.75 | 2.00x | $588.81 | $169.2K | 271 | 219 |
| 2015 | $1.1K | $475.44 | 2.28x | $609.04 | $438.0K | 777 | 489 |
| 2016 | $3.1K | $1.1K | 2.69x | $1.9K | $1.8M | 2.2K | 1.5K |
| 2017 | $3.8K | $1.1K | 3.36x | $2.7K | $2.1M | 2.6K | 1.9K |
| 2018 | $4.1K | $1.2K | 3.39x | $2.9K | $2.5M | 3.3K | 2.4K |
| 2019 | $3.0K | $1.3K | 2.26x | $1.7K | $2.5M | 3.2K | 2.6K |
| 2020 | $2.4K | $1.2K | 2.04x | $1.2K | $2.6M | 3.7K | 2.9K |
| 2021 | $2.8K | $1.3K | 2.10x | $1.5K | $2.4M | 3.2K | 2.7K |
| 2022 | $2.6K | $1.4K | 1.86x | $1.2K | $2.6M | 2.8K | 2.2K |
| 2023 | $2.6K | $1.2K | 2.13x | $1.4K | $2.9M | 3.4K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 850 | $6.4M | $7.6K | 2.53x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 390 | $5.0M | $12.7K | 2.02x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 401 | $2.9M | $7.2K | 2.95x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 493 | $908.7K | $1.8K | 2.66x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 480 | $668.2K | $1.4K | 3.30x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 128 | $567.5K | $4.4K | 1.80x |
| 37231 | Removal of plaque and insertion of stents in artery of leg, initial vessel | 41 | $481.2K | $11.7K | 1.79x |
| 36245 | Insertion of catheter into abdominal pelvic or leg artery | 458 | $289.7K | $632.47 | 7.56x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.4K | $240.3K | $166.62 | 2.92x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.0K | $238.8K | $235.71 | 1.58x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 163 | $195.9K | $1.2K | 2.14x |
| 36246 | Insertion of catheter into abdominal pelvic or leg artery | 454 | $179.6K | $395.60 | 10.18x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 121 | $170.1K | $1.4K | 1.86x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.5K | $167.0K | $68.06 | 1.70x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.5K | $156.4K | $103.79 | 1.54x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 219 | $156.2K | $713.34 | 3.40x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 878 | $128.3K | $146.15 | 1.41x |
| 93923 | Ultrasound study of arteries of both arms and legs | 3.2K | $126.2K | $39.33 | 4.29x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.0K | $114.6K | $112.53 | 3.81x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 571 | $111.0K | $194.37 | 2.22x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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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