This provider's $13.9M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% 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 | $926.67 | $278.21 | 3.33x | $648.46 | $2.3M | 4.9K | 2.4K |
| 2015 | $889.74 | $291.54 | 3.05x | $598.20 | $3.4M | 5.0K | 2.4K |
| 2016 | $794.76 | $302.66 | 2.63x | $492.10 | $2.0M | 3.0K | 1.7K |
| 2017 | $848.76 | $231.09 | 3.67x | $617.67 | $862.6K | 2.3K | 1.4K |
| 2018 | $1.0K | $269.48 | 3.73x | $735.73 | $610.5K | 2.0K | 1.2K |
| 2019 | $1.1K | $289.15 | 3.86x | $828.13 | $728.0K | 2.4K | 1.2K |
| 2020 | $1.6K | $388.55 | 4.05x | $1.2K | $698.7K | 1.7K | 928 |
| 2021 | $4.4K | $1.1K | 4.14x | $3.4K | $1.2M | 2.2K | 1.1K |
| 2022 | $5.0K | $1.3K | 3.94x | $3.7K | $1.0M | 1.9K | 960 |
| 2023 | $4.7K | $969.14 | 4.81x | $3.7K | $1.1M | 2.0K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 2.0K | $6.7M | $3.4K | 2.06x |
| 36473 | Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 2.1K | $2.2M | $1.1K | 4.22x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 137 | $657.1K | $4.8K | 4.58x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 147 | $479.7K | $3.3K | 4.81x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 356 | $428.5K | $1.2K | 2.60x |
| 37799 | Blood vessel procedure | 381 | $379.2K | $995.27 | 4.52x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 388 | $362.2K | $933.41 | 4.78x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 352 | $343.7K | $976.47 | 3.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.3K | $343.3K | $80.34 | 2.23x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 3.6K | $317.8K | $87.69 | 2.35x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.6K | $220.7K | $137.22 | 2.23x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 77 | $206.4K | $2.7K | 3.65x |
| 29580 | Strapping, Unna boot | 3.3K | $180.8K | $54.68 | 2.25x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 354 | $170.0K | $480.14 | 4.55x |
| 36011 | Insertion of catheter into vein | 400 | $147.0K | $367.58 | 3.48x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.0K | $142.1K | $137.58 | 1.90x |
| 37239 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation, each additional vein | 61 | $83.1K | $1.4K | 3.07x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 869 | $67.0K | $77.07 | 2.79x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $64.6K | $51.45 | 2.80x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 63 | $50.8K | $806.80 | 4.10x |
This provider submits charges 2.96 times higher than what Medicare actually pays.
A markup ratio of 2.96x means for every $100 Medicare pays, this provider initially charges $296. 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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