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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Kenneth Spearman
๐Ÿ“ก
MDIndividual

Kenneth Spearman, MD

NPI: 1912107772
Arroyo Grande, CA
10 years of data
Diagnostic Radiology
$9.0M
Total Payments
40.5K
Beneficiaries
47.4K
Services
2.57x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$9.0M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $9.0M over 10 years
22.57x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
4Payments surged 186% in 2020
56 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $9.0M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Medicare payments to this provider grew 1182% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 186% in 2020

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$146.84$37.383.93x$109.46$142.5K5.7K5.3K
2015$131.09$34.403.81x$96.69$123.1K5.1K4.9K
2016$171.07$50.033.42x$121.04$228.4K5.6K5.2K
2017$207.61$60.883.41x$146.73$276.0K5.3K4.8K
2018$149.27$41.343.61x$107.93$234.7K5.5K5.1K
2019$627.47$298.522.10x$328.95$612.3K4.5K4.1K
2020$2.3K$1.2K1.95x$1.1K$1.7M3.6K2.5K
2021$2.3K$1.1K2.10x$1.2K$1.7M3.8K2.7K
2022$3.0K$1.3K2.38x$1.8K$2.1M4.3K2.9K
2023$3.5K$1.2K3.02x$2.4K$1.8M4.1K3.0K

Top Procedures (20)

37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure
$1.3M
189 services$6.9K/svc2.39x markup
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure
$1.3M
137 services$9.5K/svc2.15x markup
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance
$1.2M
794 services$1.5K/svc1.75x markup
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidanceโš  3.1x markup
$890.2K
1.0K services$862.57/svc3.15x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure
$778.5K
124 services$6.3K/svc2.63x markup
37231Removal of plaque and insertion of stents in artery of leg, initial vessel
$489.5K
46 services$10.6K/svc2.09x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$421.5K
3.4K services$124.44/svc2.83x markup
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skinโš  3.4x markup
$371.6K
492 services$755.33/svc3.44x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatment
$296.0K
314 services$942.57/svc1.84x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$230.0K
1.8K services$127.77/svc2.67x markup
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure
$117.0K
119 services$983.13/svc1.87x markup
93923Ultrasound study of arteries of both arms and legsโš  4.7x markup
$116.9K
1.9K services$60.40/svc4.73x markup
99204New patient office or other outpatient visit, typically 45 minutes
$91.2K
741 services$123.12/svc2.79x markup
99203New patient office or other outpatient visit, typically 30 minutes
$84.5K
1.1K services$79.46/svc2.86x markup
76970Ultrasound follow-up study
$79.4K
1.1K services$71.13/svc2.81x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$64.6K
1.0K services$62.29/svc2.53x markup
74177CT scan of abdomen and pelvis with contrastโš  4.0x markup
$62.7K
922 services$68.02/svc3.97x markup
70450CT scan head or brainโš  3.9x markup
$62.2K
2.0K services$30.67/svc3.91x markup
36471Injection of chemical agent into multiple veins of same legโš  3.8x markup
$61.2K
620 services$98.75/svc3.84x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
$58.5K
685 services$85.35/svc2.79x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure189$1.3M$6.9K2.39x
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure137$1.3M$9.5K2.15x
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance794$1.2M$1.5K1.75x
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance1.0K$890.2K$862.573.15x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure124$778.5K$6.3K2.63x
37231Removal of plaque and insertion of stents in artery of leg, initial vessel46$489.5K$10.6K2.09x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers3.4K$421.5K$124.442.83x
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin492$371.6K$755.333.44x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment314$296.0K$942.571.84x
93925Ultrasound study of arteries and arterial grafts of both legs1.8K$230.0K$127.772.67x
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure119$117.0K$983.131.87x
93923Ultrasound study of arteries of both arms and legs1.9K$116.9K$60.404.73x
99204New patient office or other outpatient visit, typically 45 minutes741$91.2K$123.122.79x
99203New patient office or other outpatient visit, typically 30 minutes1.1K$84.5K$79.462.86x
76970Ultrasound follow-up study1.1K$79.4K$71.132.81x
99213Established patient office or other outpatient visit, typically 15 minutes1.0K$64.6K$62.292.53x
74177CT scan of abdomen and pelvis with contrast922$62.7K$68.023.97x
70450CT scan head or brain2.0K$62.2K$30.673.91x
36471Injection of chemical agent into multiple veins of same leg620$61.2K$98.753.84x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers685$58.5K$85.352.79x

Markup Analysis

Charge-to-Payment Ratio

2.57x

This provider submits charges 2.57 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.57x means for every $100 Medicare pays, this provider initially charges $257. This is higher than the national average.

Location

Arroyo Grande, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Diagnostic Radiology providers in CA for peer comparison.

Kenneth Spearman (you)
$9.0M
Stephen Liu, M.D.
$37.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Stephen Liu, M.D.Modesto, CA$37.2Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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