This provider's $4.1M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 14326% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 749% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $94.00 | $55.51 | 1.69x | $38.49 | $7.7K | 201 | 87 |
| 2016 | $171.29 | $83.44 | 2.05x | $87.85 | $18.2K | 346 | 174 |
| 2017 | $311.83 | $92.80 | 3.36x | $219.03 | $9.0K | 112 | 77 |
| 2018 | $854.50 | $175.75 | 4.86x | $678.75 | $76.2K | 561 | 505 |
| 2019 | $836.76 | $203.65 | 4.11x | $633.11 | $176.6K | 708 | 593 |
| 2020 | $490.51 | $180.15 | 2.72x | $310.36 | $220.3K | 1.1K | 637 |
| 2021 | $800.81 | $462.34 | 1.73x | $338.47 | $846.3K | 2.5K | 926 |
| 2022 | $746.43 | $338.17 | 2.21x | $408.26 | $1.6M | 4.6K | 1.4K |
| 2023 | $815.00 | $305.39 | 2.67x | $509.61 | $1.1M | 2.9K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 1.5K | $1.4M | $958.19 | 2.12x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 859 | $1.1M | $1.3K | 2.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.4K | $231.9K | $97.54 | 1.71x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 202 | $221.9K | $1.1K | 2.91x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 179 | $197.9K | $1.1K | 2.26x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.9K | $174.6K | $91.93 | 2.40x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 827 | $112.2K | $135.65 | 2.46x |
| 36471 | Injection of chemical agent into multiple incompetent veins of one leg | 703 | $112.0K | $159.34 | 2.34x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 680 | $93.1K | $136.89 | 1.46x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 321 | $60.0K | $186.87 | 1.71x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 612 | $41.1K | $67.14 | 2.19x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 324 | $37.8K | $116.74 | 2.57x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 230 | $37.8K | $164.14 | 1.83x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 160 | $26.1K | $163.24 | 1.96x |
| 36483 | Chemical destruction of subsequent incompetent veins of arm or leg using imaging guidance | 191 | $20.9K | $109.57 | 6.07x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 178 | $17.3K | $97.30 | 1.46x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 373 | $17.0K | $45.53 | 3.53x |
| 43282 | Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope | 33 | $15.9K | $480.64 | 6.25x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 432 | $13.5K | $31.21 | 1.93x |
| 49905 | Placement of flap to repair abdominal wall | 99 | $11.5K | $115.99 | 5.24x |
This provider submits charges 2.29 times higher than what Medicare actually pays.
A markup ratio of 2.29x means for every $100 Medicare pays, this provider initially charges $229. 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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