This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
Medicare payments to this provider grew 68% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 52% in 2018
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 | $481.21 | 3.22x | $1.1K | $604.6K | 1.5K | 827 |
| 2015 | $1.6K | $455.33 | 3.42x | $1.1K | $502.0K | 1.7K | 894 |
| 2016 | $1.1K | $228.37 | 4.76x | $859.13 | $476.8K | 2.0K | 1.1K |
| 2017 | $1.3K | $274.53 | 4.65x | $1.0K | $518.0K | 1.7K | 1.2K |
| 2018 | $1.2K | $352.30 | 3.53x | $890.29 | $789.7K | 2.3K | 1.3K |
| 2019 | $1.2K | $286.85 | 4.17x | $907.99 | $755.7K | 2.6K | 1.7K |
| 2020 | $1.2K | $290.41 | 4.12x | $904.69 | $692.4K | 2.4K | 1.6K |
| 2021 | $1.5K | $392.43 | 3.84x | $1.1K | $908.4K | 3.2K | 2.2K |
| 2022 | $1.5K | $362.75 | 4.17x | $1.1K | $1.1M | 3.6K | 2.4K |
| 2023 | $1.5K | $361.25 | 4.25x | $1.2K | $1.0M | 3.5K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 1.9K | $2.1M | $1.1K | 3.11x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.1K | $1.2M | $1.1K | 4.59x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 981 | $974.1K | $992.94 | 4.53x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 4.9K | $700.8K | $141.86 | 4.04x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 5.0K | $439.8K | $88.62 | 4.45x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 98 | $376.7K | $3.8K | 2.21x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 122 | $323.7K | $2.7K | 3.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $241.7K | $114.72 | 3.44x |
| 37239 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation, each additional vein | 120 | $158.3K | $1.3K | 3.41x |
| 93965 | Ultrasound study of veins of both arms or legs including assessment of functional maneuvers | 1.5K | $137.7K | $92.03 | 5.43x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 922 | $122.8K | $133.17 | 4.71x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment, initial vessel | 143 | $104.9K | $733.32 | 4.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $98.9K | $57.43 | 3.16x |
| 36479 | Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 242 | $66.4K | $274.45 | 7.29x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 38 | $58.8K | $1.5K | 1.94x |
| 36470 | Injection of chemical agent into single incompetent vein | 611 | $51.0K | $83.45 | 4.79x |
| 76998 | Ultrasonic guidance during surgery | 318 | $32.9K | $103.54 | 19.32x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 377 | $32.4K | $85.82 | 2.82x |
| 36011 | Insertion of tube into vein, first order branch | 99 | $32.1K | $324.73 | 5.52x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 716 | $31.1K | $43.41 | 14.02x |
This provider submits charges 3.97 times higher than what Medicare actually pays.
A markup ratio of 3.97x means for every $100 Medicare pays, this provider initially charges $397. 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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