OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Providers
  3. Daniel Donohue
❤️
MDIndividual

Daniel Donohue, MD

NPI: 1003098542
Garden City, NY
10 years of data
Interventional Cardiology
$3.6M
Total Payments
26.1K
Beneficiaries
37.9K
Services
5.84x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$3.6M
Specialty median$201.5K

📋 Key Findings

1Billed $3.6M over 10 years
25.84x markup ratio (above median)
397th percentile in Interventional Cardiology by payments
418 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.6M in total Medicare payments ranks in the 97th percentile of Interventional Cardiology providers nationally.

Their average markup ratio of 5.84x is significantly above the specialty median of 4.0x.

Medicare payments to this provider grew 317% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$756.42$101.127.48x$655.30$157.9K2.4K1.6K
2015$772.26$108.347.13x$663.92$198.5K2.5K1.7K
2016$810.75$136.005.96x$674.75$278.4K2.9K2.1K
2017$695.03$105.376.60x$589.66$330.4K3.7K2.6K
2018$584.36$105.145.56x$479.22$371.1K4.6K2.9K
2019$897.40$146.666.12x$750.74$346.1K4.3K2.6K
2020$860.31$119.937.17x$740.38$336.3K3.7K2.5K
2021$1.0K$117.718.57x$891.46$404.7K4.2K2.9K
2022$977.71$115.468.47x$862.25$548.9K4.7K3.5K
2023$1.0K$121.488.49x$909.87$658.6K4.8K3.7K

Top Procedures (20)

78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 5.5x markup
$1.2M
2.7K services$453.30/svc5.48x markup
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose
$456.4K
2.7K services$169.72/svc2.45x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.2x markup
$428.8K
4.4K services$96.39/svc4.15x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 14.0x markup
$161.3K
613 services$263.15/svc13.96x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.8x markup
$149.2K
2.2K services$66.75/svc3.84x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 10.0x markup
$145.1K
2.4K services$59.56/svc9.99x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 3.8x markup
$140.8K
2.1K services$66.40/svc3.84x markup
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin⚠ 6.4x markup
$119.8K
208 services$576.07/svc6.40x markup
93460Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart⚠ 10.7x markup
$97.3K
268 services$363.10/svc10.72x markup
99222Initial hospital inpatient care, typically 50 minutes per day⚠ 3.7x markup
$89.7K
716 services$125.27/svc3.71x markup
J2785Injection, regadenoson, 0.1 mg⚠ 14.1x markup
$72.5K
1.6K services$45.25/svc14.13x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 7.2x markup
$67.4K
4.7K services$14.33/svc7.24x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose⚠ 5.9x markup
$56.1K
486 services$115.35/svc5.89x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 4.6x markup
$53.0K
360 services$147.27/svc4.58x markup
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec⚠ 6.1x markup
$44.3K
249 services$177.87/svc6.12x markup
93459Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 12.1x markup
$26.5K
94 services$281.90/svc12.12x markup
93793Anti-clotting management for patient taking warfarin⚠ 6.4x markup
$25.4K
2.6K services$9.83/svc6.37x markup
33418Replacement of aortic valve with prosthetic valve accessed through the skin⚠ 6.3x markup
$25.3K
22 services$1.1K/svc6.27x markup
99231Subsequent hospital inpatient care, typically 15 minutes per day
$23.9K
667 services$35.80/svc2.77x markup
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days⚠ 4.8x markup
$22.2K
100 services$222.49/svc4.85x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2.7K$1.2M$453.305.48x
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose2.7K$456.4K$169.722.45x
99214Established patient office or other outpatient, visit typically 25 minutes4.4K$428.8K$96.394.15x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart613$161.3K$263.1513.96x
99213Established patient office or other outpatient visit, typically 15 minutes2.2K$149.2K$66.753.84x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report2.4K$145.1K$59.569.99x
99232Subsequent hospital inpatient care, typically 25 minutes per day2.1K$140.8K$66.403.84x
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin208$119.8K$576.076.40x
93460Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart268$97.3K$363.1010.72x
99222Initial hospital inpatient care, typically 50 minutes per day716$89.7K$125.273.71x
J2785Injection, regadenoson, 0.1 mg1.6K$72.5K$45.2514.13x
93000Routine EKG using at least 12 leads including interpretation and report4.7K$67.4K$14.337.24x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose486$56.1K$115.355.89x
99204New patient office or other outpatient visit, typically 45 minutes360$53.0K$147.274.58x
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec249$44.3K$177.876.12x
93459Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart94$26.5K$281.9012.12x
93793Anti-clotting management for patient taking warfarin2.6K$25.4K$9.836.37x
33418Replacement of aortic valve with prosthetic valve accessed through the skin22$25.3K$1.1K6.27x
99231Subsequent hospital inpatient care, typically 15 minutes per day667$23.9K$35.802.77x
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days100$22.2K$222.494.85x

Markup Analysis

Charge-to-Payment Ratio

5.84x

This provider submits charges 5.84 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.84x means for every $100 Medicare pays, this provider initially charges $584. This is higher than the national average.

Location

Garden City, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Related

Browse
← Back to Provider Directory
State
All providers in NY →
Specialty
All Interventional Cardiology providers →
Tool
Compare this provider →
Analysis
Fraud Watchlist →
Search
Search all providers →

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data