This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Thoracic Surgery providers nationally.
Medicare payments to this provider grew 673% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 616% in 2016
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $2.1K | $610.55 | 3.40x | $1.5K | $66.1K | 142 | 121 |
| 2015 | $2.1K | $541.53 | 3.84x | $1.5K | $48.6K | 110 | 101 |
| 2016 | $1.4K | $357.28 | 3.82x | $1.0K | $347.9K | 2.5K | 1.7K |
| 2017 | $1.2K | $305.56 | 4.08x | $942.18 | $685.2K | 5.3K | 3.0K |
| 2018 | $528.20 | $122.93 | 4.30x | $405.27 | $481.6K | 3.8K | 2.1K |
| 2019 | $336.00 | $101.18 | 3.32x | $234.82 | $446.2K | 3.6K | 1.8K |
| 2020 | $460.00 | $129.23 | 3.56x | $330.77 | $573.2K | 4.5K | 2.8K |
| 2021 | $444.20 | $127.72 | 3.48x | $316.48 | $701.2K | 5.5K | 3.3K |
| 2022 | $365.12 | $105.70 | 3.45x | $259.42 | $449.6K | 3.9K | 2.6K |
| 2023 | $388.10 | $117.67 | 3.30x | $270.43 | $511.2K | 4.8K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 14.5K | $2.2M | $153.20 | 3.66x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 17.2K | $1.7M | $98.81 | 3.64x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 76 | $104.9K | $1.4K | 3.72x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 75 | $80.9K | $1.1K | 3.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 408 | $55.7K | $136.55 | 3.30x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 335 | $51.6K | $154.18 | 3.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 770 | $47.3K | $61.41 | 3.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 315 | $28.8K | $91.30 | 3.18x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 33 | $6.4K | $193.70 | 2.94x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 119 | $6.1K | $51.54 | 11.83x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 27 | $4.3K | $159.93 | 2.44x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | $3.1K | $89.89 | 3.23x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 72 | $2.8K | $39.56 | 3.03x |
| 10160 | Aspiration of abscess, blood accumulation, blister, or cyst | 15 | $840.91 | $56.06 | 6.42x |
This provider submits charges 3.65 times higher than what Medicare actually pays.
A markup ratio of 3.65x means for every $100 Medicare pays, this provider initially charges $365. 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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