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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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Methodology•Download Data
  1. Home
  2. Procedures
  3. 92928
  4. Cost Analysis

How Much Does Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch Cost on Medicare?

Cost analysis for CPT 92928 — Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch

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Average Medicare Payment

$426.83

2023 data

Total Payments (2023)

$72.5M

Services (2023)

171.4K

Price Change (2014–2023)

-5.5%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$451.55$96.8M216.7K—
2015$453.12$99.5M222.1K+0.3%
2016$449.59$104.7M235.5K-0.8%
2017$440.12$104.0M239.6K-2.1%
2018$440.29$102.0M234.7K+0.0%
2019$447.27$104.7M236.9K+1.6%
2020$451.89$83.7M186.6K+1.0%
2021$440.76$82.2M188.4K-2.5%
2022$438.79$75.0M172.2K-0.4%
2023$426.83$72.5M171.4K-2.7%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $515.11 vs ID at $365.48.

StateAvg PaymentTotal PaymentsServicesProviders
AK$515.11$180.8K3518
NY$502.58$5.4M10.8K250
DC$487.95$193.7K3979
FL$462.89$7.0M15.1K400
IL$457.73$3.4M7.3K218
NJ$455.57$2.1M4.6K175
MD$453.69$1.2M2.6K75
DE$444.80$275.8K62020
KS$439.72$1.1M2.6K57
MI$436.21$2.1M4.7K168
CT$434.51$438.9K1.0K44
AZ$434.43$1.9M4.4K142
MA$433.26$1.4M3.2K102
TX$431.60$5.5M12.8K416
PA$422.53$2.8M6.7K225
NH$421.74$337.8K80122
NV$421.03$534.7K1.3K40
VA$418.28$1.8M4.2K131
LA$414.47$1.1M2.8K97
WV$413.71$577.5K1.4K36
CA$413.38$5.1M12.4K371
OH$412.30$2.8M6.8K218
NM$411.15$259.0K63020
RI$408.62$196.1K48013
GA$407.16$2.0M4.9K153
CO$404.38$827.8K2.0K68
OK$403.09$1.3M3.2K91
WA$400.33$1.4M3.4K108
AL$400.20$1.0M2.6K86
NC$398.66$2.0M5.0K144
MT$398.53$395.3K99221
MO$398.53$1.7M4.2K128
ME$398.51$165.8K41616
KY$396.83$1.2M3.0K89
HI$396.41$65.4K1658
OR$395.73$554.0K1.4K50
AR$395.64$1.6M4.0K88
VT$389.13$120.6K3109
SC$388.48$1.3M3.4K102
ND$386.21$387.4K1.0K20
WY$385.67$88.3K2294
MS$382.62$1.1M2.8K70
UT$381.01$504.8K1.3K34
IN$380.82$1.6M4.1K138
SD$378.58$415.3K1.1K15
MN$377.03$887.2K2.4K84
TN$376.11$1.6M4.2K130
NE$375.70$463.2K1.2K36
IA$371.78$838.0K2.3K57
WI$371.18$1.0M2.7K78
ID$365.48$285.1K78026

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Heart & Vascular Ambulatory Surgery Center, LlcAmbulatory Surgical CenterFL$250.9K56$4480.18
Richard ShlofmitzInterventional CardiologyNY$250.2K448$558.38
Us Cardio Of Sa, LlcAmbulatory Surgical CenterTX$203.3K88$2309.95
Barry KaplanInterventional CardiologyNY$170.6K306$557.67
Samin SharmaCardiologyNY$164.6K337$488.43
Cardio-Kidney Vascular Care LlcAmbulatory Surgical CenterKS$145.1K33$4397.97
Aland FernandezInterventional CardiologyFL$137.7K320$430.17
Cigarroa Interventional -Asc LlcAmbulatory Surgical CenterTX$116.1K26$4464.81
Sarc By Hsh Asc Pine Bluff, LlcAmbulatory Surgical CenterAR$108.3K51$2123.08
Jay HamzeCardiologyOH$105.5K267$395.00
Jeffrey RossiInterventional CardiologyOH$104.7K260$402.60
Gregory SampognaroCardiologyLA$104.6K258$405.55
Paul TeirsteinInterventional CardiologyCA$95.8K251$381.75
Mamoo NakamuraInterventional CardiologyCA$94.6K213$444.05
Bernard TopiInterventional CardiologyFL$85.7K192$446.49
Raj MakkarInterventional CardiologyCA$84.7K202$419.48
Michael AttubatoCardiologyNY$84.4K165$511.78
Annapoorna KiniCardiologyNY$83.1K158$526.14
Bruce LewisInterventional CardiologyIL$79.5K161$493.84
Rajiv JauharInterventional CardiologyNY$78.3K141$555.60

🤔 Is Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch Overpriced?

Based on the data, CPT 92928 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 5.5% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.