This provider's $4.0M in total Medicare payments ranks in the 97th percentile of Peripheral Vascular Disease providers nationally.
Medicare payments to this provider grew 723% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 287% 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 | $449.80 | $117.72 | 3.82x | $332.08 | $98.6K | 1.3K | 1.1K |
| 2015 | $371.56 | $128.28 | 2.90x | $243.28 | $222.5K | 2.8K | 2.2K |
| 2016 | $277.44 | $97.33 | 2.85x | $180.11 | $253.7K | 3.3K | 2.4K |
| 2017 | $587.95 | $126.29 | 4.66x | $461.66 | $229.7K | 2.6K | 1.8K |
| 2018 | $730.34 | $145.85 | 5.01x | $584.49 | $289.8K | 2.9K | 2.2K |
| 2019 | $578.43 | $134.21 | 4.31x | $444.22 | $265.2K | 2.5K | 1.8K |
| 2020 | $590.47 | $137.33 | 4.30x | $453.14 | $217.5K | 2.1K | 1.5K |
| 2021 | $2.0K | $534.31 | 3.78x | $1.5K | $841.8K | 2.5K | 1.8K |
| 2022 | $1.9K | $417.56 | 4.45x | $1.4K | $782.5K | 2.5K | 1.9K |
| 2023 | $2.1K | $449.17 | 4.66x | $1.6K | $812.1K | 2.6K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 245 | $1.1M | $4.5K | 3.70x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 220 | $599.7K | $2.7K | 5.90x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.3K | $446.8K | $83.99 | 3.51x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.7K | $188.5K | $111.03 | 3.95x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 863 | $164.0K | $189.99 | 4.02x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 584 | $156.5K | $267.99 | 3.96x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $123.7K | $121.00 | 3.63x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 164 | $114.3K | $697.06 | 3.58x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.9K | $108.3K | $56.85 | 2.87x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.1K | $92.1K | $85.24 | 3.46x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 425 | $89.4K | $210.38 | 3.95x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 129 | $84.5K | $654.70 | 4.21x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 438 | $69.5K | $158.78 | 3.53x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 119 | $54.5K | $457.98 | 3.36x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 82 | $50.1K | $610.94 | 3.41x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 524 | $44.8K | $85.59 | 3.38x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 284 | $43.6K | $153.67 | 7.11x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 273 | $39.8K | $145.82 | 3.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 680 | $35.5K | $52.25 | 3.05x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 353 | $32.5K | $92.15 | 3.80x |
This provider submits charges 4.04 times higher than what Medicare actually pays.
A markup ratio of 4.04x means for every $100 Medicare pays, this provider initially charges $404. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Peripheral Vascular Disease providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Pablo Guala, M.D. | Hialeah, FL | $46.7M | ✓ Clear |
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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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