This provider's $10.7M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 260% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 98% in 2021
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 | $870.45 | $212.62 | 4.09x | $657.83 | $549.8K | 3.4K | 2.3K |
| 2015 | $1.2K | $247.41 | 4.85x | $953.54 | $660.2K | 3.6K | 2.3K |
| 2016 | $1.1K | $232.22 | 4.54x | $821.20 | $655.6K | 3.7K | 2.4K |
| 2017 | $1.3K | $244.57 | 5.27x | $1.0K | $795.0K | 4.1K | 2.9K |
| 2018 | $1.4K | $272.83 | 5.31x | $1.2K | $881.9K | 4.0K | 2.7K |
| 2019 | $1.0K | $218.52 | 4.62x | $791.32 | $895.8K | 4.0K | 2.7K |
| 2020 | $1.3K | $280.76 | 4.69x | $1.0K | $783.2K | 3.3K | 2.1K |
| 2021 | $1.5K | $358.25 | 4.16x | $1.1K | $1.5M | 4.8K | 2.8K |
| 2022 | $1.5K | $321.82 | 4.61x | $1.2K | $1.9M | 6.0K | 3.3K |
| 2023 | $1.1K | $227.04 | 4.94x | $894.56 | $2.0M | 6.4K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 3.0K | $3.7M | $1.3K | 5.11x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 2.0K | $2.6M | $1.3K | 4.18x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 6.9K | $749.4K | $109.32 | 5.02x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.1K | $597.2K | $65.60 | 2.37x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.0K | $529.0K | $174.13 | 5.35x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 2.9K | $504.3K | $174.56 | 4.63x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 199 | $311.6K | $1.6K | 4.03x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 6.8K | $267.0K | $39.53 | 2.60x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.1K | $187.1K | $167.38 | 4.24x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $177.5K | $88.14 | 2.34x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $149.3K | $137.85 | 2.57x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 691 | $142.8K | $206.71 | 5.92x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.1K | $131.1K | $120.20 | 4.68x |
| 36476 | Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin | 465 | $127.5K | $274.15 | 5.40x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 405 | $89.4K | $220.74 | 4.14x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 802 | $84.1K | $104.85 | 4.10x |
| 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 503 | $62.9K | $125.03 | 4.71x |
| 35301 | Removal of blood clot and portion of artery of neck | 46 | $45.8K | $995.21 | 7.75x |
| 93979 | Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan | 390 | $44.3K | $113.51 | 4.33x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 131 | $31.9K | $243.31 | 4.62x |
This provider submits charges 4.5 times higher than what Medicare actually pays.
A markup ratio of 4.5x means for every $100 Medicare pays, this provider initially charges $450. 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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