This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Medicare payments to this provider grew 59% from 2014 to 2023.
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 | $1.3K | $414.57 | 3.04x | $843.91 | $224.3K | 502 | 499 |
| 2015 | $1.1K | $360.51 | 3.10x | $756.37 | $286.9K | 642 | 642 |
| 2016 | $1.4K | $412.90 | 3.33x | $962.37 | $313.7K | 776 | 775 |
| 2017 | $1.5K | $429.77 | 3.40x | $1.0K | $377.5K | 912 | 911 |
| 2018 | $1.3K | $412.12 | 3.19x | $901.28 | $361.7K | 841 | 837 |
| 2019 | $1.7K | $511.92 | 3.32x | $1.2K | $393.9K | 851 | 843 |
| 2020 | $2.1K | $626.47 | 3.38x | $1.5K | $351.4K | 621 | 620 |
| 2021 | $1.9K | $543.16 | 3.42x | $1.3K | $332.0K | 646 | 642 |
| 2022 | $1.4K | $421.42 | 3.38x | $1.0K | $312.6K | 727 | 709 |
| 2023 | $1.5K | $448.12 | 3.41x | $1.1K | $356.0K | 786 | 782 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33533 | Heart artery bypass to repair one artery | 1.1K | $1.4M | $1.3K | 3.13x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 706 | $424.9K | $601.83 | 4.14x |
| 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 282 | $419.9K | $1.5K | 3.53x |
| 33430 | Replacement of valve between left upper and lower chambers on heart-lung machine | 153 | $307.3K | $2.0K | 2.97x |
| 33518 | Combined multiple vein and artery heart artery bypasses | 581 | $174.5K | $300.31 | 2.94x |
| 33519 | Combined multiple vein and artery heart artery bypasses | 253 | $100.6K | $397.44 | 2.94x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 117 | $97.4K | $832.75 | 4.81x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 981 | $75.2K | $76.70 | 2.48x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 308 | $49.2K | $159.77 | 2.31x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 376 | $44.4K | $118.05 | 2.52x |
| 33257 | Destruction and reconstruction of right upper heart | 59 | $26.1K | $442.38 | 4.33x |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | 165 | $22.0K | $133.61 | 2.70x |
| 33517 | Combined vein and artery heart artery bypass | 160 | $21.9K | $136.95 | 2.94x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 327 | $21.2K | $64.82 | 2.93x |
| 33025 | Creation of opening or partial removal of sac that covers the heart | 25 | $13.5K | $538.42 | 3.73x |
| 33268 | Exclusion of appendage of left upper chamber of heart performed during other procedure on chest | 126 | $11.7K | $92.51 | 2.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 204 | $10.6K | $52.17 | 2.36x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 252 | $9.8K | $38.82 | 2.87x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 174 | $9.6K | $55.07 | 2.56x |
| 33530 | Reoperation of heart artery bypass or valve procedure more than 1 month after original operation | 24 | $8.1K | $337.84 | 3.09x |
This provider submits charges 3.29 times higher than what Medicare actually pays.
A markup ratio of 3.29x means for every $100 Medicare pays, this provider initially charges $329. 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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