This provider's $13.9M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 106% 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 | $2.5K | $184.40 | 13.52x | $2.3K | $787.0K | 7.9K | 6.7K |
| 2015 | $2.4K | $188.77 | 12.65x | $2.2K | $909.3K | 8.7K | 7.2K |
| 2016 | $2.6K | $207.15 | 12.70x | $2.4K | $1.3M | 9.8K | 7.9K |
| 2017 | $1.8K | $156.96 | 11.23x | $1.6K | $1.3M | 10.0K | 7.8K |
| 2018 | $1.6K | $152.93 | 10.74x | $1.5K | $1.2M | 9.8K | 7.4K |
| 2019 | $1.7K | $152.69 | 11.39x | $1.6K | $1.4M | 9.6K | 7.6K |
| 2020 | $994.58 | $238.50 | 4.17x | $756.08 | $1.8M | 9.0K | 7.1K |
| 2021 | $966.82 | $246.52 | 3.92x | $720.30 | $1.9M | 8.8K | 7.1K |
| 2022 | $775.64 | $151.66 | 5.11x | $623.98 | $1.7M | 8.9K | 6.9K |
| 2023 | $903.20 | $204.41 | 4.42x | $698.79 | $1.6M | 8.7K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 3.9K | $4.1M | $1.1K | 3.09x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3.9K | $2.5M | $623.52 | 3.18x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.6K | $1.2M | $126.88 | 8.79x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.2K | $1.1M | $80.01 | 1.93x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.9K | $1.0M | $354.63 | 5.36x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 7.6K | $399.3K | $52.35 | 10.07x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.7K | $376.2K | $56.13 | 2.32x |
| J2785 | Injection, regadenoson, 0.1 mg | 6.8K | $298.6K | $44.18 | 2.68x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.9K | $292.2K | $152.74 | 2.11x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.1K | $287.2K | $134.67 | 4.74x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.7K | $240.9K | $145.12 | 3.25x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.2K | $231.6K | $104.71 | 2.18x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 833 | $227.6K | $273.25 | 36.29x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.3K | $156.9K | $66.78 | 7.28x |
| 33285 | Insertion of heart rhythm monitor under skin | 38 | $151.4K | $4.0K | 3.01x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 334 | $144.4K | $432.30 | 6.79x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.8K | $120.1K | $11.17 | 10.46x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 124 | $83.7K | $674.87 | 5.25x |
| 78451 | Nuclear medicine study of vessels of heart using drugs or exercise single study | 398 | $83.3K | $209.31 | 3.17x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 449 | $77.8K | $173.26 | 4.50x |
This provider submits charges 4.98 times higher than what Medicare actually pays.
A markup ratio of 4.98x means for every $100 Medicare pays, this provider initially charges $498. 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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