This provider's $5.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 104% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $363.95 | $91.51 | 3.98x | $272.44 | $416.0K | 5.0K | 4.0K |
| 2015 | $377.19 | $92.96 | 4.06x | $284.23 | $406.0K | 5.4K | 4.4K |
| 2016 | $360.95 | $89.56 | 4.03x | $271.39 | $431.0K | 5.8K | 4.8K |
| 2017 | $365.14 | $90.29 | 4.04x | $274.85 | $470.4K | 6.0K | 5.1K |
| 2018 | $285.02 | $86.21 | 3.31x | $198.81 | $453.1K | 6.1K | 5.2K |
| 2019 | $202.59 | $82.93 | 2.44x | $119.66 | $505.4K | 6.6K | 5.3K |
| 2020 | $296.04 | $88.61 | 3.34x | $207.43 | $450.0K | 5.0K | 4.2K |
| 2021 | $307.52 | $96.16 | 3.20x | $211.36 | $472.6K | 4.9K | 4.1K |
| 2022 | $343.91 | $100.38 | 3.43x | $243.53 | $643.7K | 7.1K | 5.2K |
| 2023 | $316.87 | $88.63 | 3.58x | $228.24 | $848.1K | 9.6K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.7K | $1.2M | $443.75 | 3.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.0K | $1.2M | $96.81 | 2.94x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.1K | $852.2K | $166.19 | 4.93x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.7K | $240.0K | $89.08 | 4.64x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.4K | $211.3K | $61.64 | 2.56x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.2K | $186.7K | $58.87 | 5.97x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.1K | $186.2K | $59.97 | 2.87x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $183.0K | $135.23 | 3.22x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.3K | $175.3K | $13.19 | 4.38x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 728 | $125.7K | $172.69 | 2.45x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.1K | $96.3K | $88.75 | 2.48x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.8K | $79.5K | $44.16 | 5.72x |
| 93241 | Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 312 | $72.6K | $232.62 | 4.03x |
| 76706 | Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm) | 473 | $60.8K | $128.52 | 1.32x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 636 | $44.3K | $69.62 | 5.27x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 5.7K | $41.1K | $7.15 | 6.29x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 294 | $40.0K | $135.97 | 2.78x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 309 | $36.1K | $116.89 | 2.83x |
| 93308 | Follow-up or limited ultrasound examination of heart | 284 | $28.1K | $98.90 | 3.35x |
| 99284 | Emergency department visit, problem of high severity | 113 | $10.9K | $96.24 | 2.49x |
This provider submits charges 3.62 times higher than what Medicare actually pays.
A markup ratio of 3.62x means for every $100 Medicare pays, this provider initially charges $362. 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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