This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.
Their average markup ratio of 6.02x is significantly above the specialty median of 5.1x.
Medicare payments to this provider grew 1756% from 2014 to 2023.
71% of their billing comes from a single procedure code (37243 — Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 843% in 2022
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 | $957.25 | $121.28 | 7.89x | $835.97 | $131.2K | 1.3K | 1.3K |
| 2015 | $1.1K | $125.78 | 8.46x | $937.75 | $149.5K | 1.3K | 1.3K |
| 2016 | $1.5K | $121.18 | 12.25x | $1.4K | $97.1K | 931 | 894 |
| 2017 | $1.3K | $107.63 | 11.81x | $1.2K | $115.8K | 1.6K | 1.5K |
| 2018 | $1.4K | $110.62 | 13.00x | $1.3K | $103.8K | 1.3K | 1.3K |
| 2019 | $1.8K | $116.19 | 15.33x | $1.7K | $73.3K | 908 | 866 |
| 2020 | $762.39 | $98.27 | 7.76x | $664.12 | $59.4K | 730 | 708 |
| 2021 | $2.6K | $360.31 | 7.17x | $2.2K | $206.6K | 774 | 766 |
| 2022 | $4.7K | $785.65 | 6.03x | $4.0K | $1.9M | 2.7K | 2.7K |
| 2023 | $5.4K | $874.65 | 6.14x | $4.5K | $2.4M | 3.5K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37243 | Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance | 795 | $3.7M | $4.6K | 5.06x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 917 | $365.2K | $398.27 | 10.69x |
| 37242 | Occlusion of artery with review by radiologist | 94 | $279.4K | $3.0K | 8.72x |
| 37244 | Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance | 78 | $167.6K | $2.1K | 9.62x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 101 | $97.0K | $960.51 | 4.86x |
| 75726 | Radiological supervision and interpretation of imaging of abdominal artery | 609 | $74.3K | $122.07 | 4.53x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 338 | $68.9K | $203.93 | 10.03x |
| 36147 | Insertion of needle and/or catheter for dialysis | 153 | $61.3K | $400.45 | 5.12x |
| 36248 | Insertion of catheter into each additional abdominal, pelvic or leg artery | 819 | $61.3K | $74.79 | 7.01x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 210 | $55.5K | $264.28 | 11.59x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 51 | $46.3K | $907.93 | 3.82x |
| 75774 | Radiological supervision and interpretation of imaging of artery | 577 | $41.0K | $70.99 | 4.58x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 507 | $39.2K | $77.40 | 4.15x |
| 76937 | Ultrasound guidance for accessing into blood vessel | 1.7K | $30.3K | $17.51 | 4.58x |
| 71275 | CT scan of blood vessels in chest with contrast | 417 | $24.2K | $58.12 | 4.70x |
| 36589 | Removal of central venous catheter for infusion | 201 | $20.7K | $102.79 | 4.68x |
| 49406 | Fluid collection drainage by catheter using imaging guidance, accessed through the skin | 125 | $18.9K | $151.06 | 12.12x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 1.2K | $18.7K | $15.34 | 9.74x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 162 | $13.4K | $82.46 | 3.91x |
| 77001 | Fluoroscopic guidance for insertion, replacement or removal of central venous access device | 855 | $12.9K | $15.05 | 3.95x |
This provider submits charges 6.02 times higher than what Medicare actually pays.
A markup ratio of 6.02x means for every $100 Medicare pays, this provider initially charges $602. 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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