This provider averages 51 services per working day
Based on 128.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.3M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Their average markup ratio of 7.58x is significantly above the specialty median of 3.6x.
Averaging 51 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 118% 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 | $352.64 | $86.34 | 4.08x | $266.30 | $747.6K | 7.3K | 5.6K |
| 2015 | $612.01 | $109.33 | 5.60x | $502.68 | $982.3K | 8.7K | 6.6K |
| 2016 | $574.35 | $102.97 | 5.58x | $471.38 | $1.3M | 11.6K | 8.6K |
| 2017 | $498.44 | $94.05 | 5.30x | $404.39 | $1.4M | 12.5K | 9.2K |
| 2018 | $645.43 | $97.68 | 6.61x | $547.75 | $1.3M | 12.8K | 9.7K |
| 2019 | $639.17 | $98.74 | 6.47x | $540.43 | $1.4M | 13.1K | 9.8K |
| 2020 | $790.37 | $86.07 | 9.18x | $704.30 | $1.4M | 12.9K | 10.0K |
| 2021 | $714.07 | $77.19 | 9.25x | $636.88 | $1.6M | 15.8K | 12.3K |
| 2022 | $691.34 | $78.56 | 8.80x | $612.78 | $1.6M | 16.3K | 12.4K |
| 2023 | $733.81 | $81.87 | 8.96x | $651.94 | $1.6M | 17.1K | 13.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.5K | $2.5M | $458.38 | 6.24x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 12.2K | $2.2M | $178.19 | 8.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.0K | $1.8M | $101.51 | 4.87x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 8.0K | $1.8M | $221.91 | 7.00x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 9.5K | $1.6M | $170.57 | 8.13x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 5.5K | $602.6K | $109.55 | 7.07x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 7.9K | $401.6K | $50.66 | 13.63x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.6K | $327.3K | $58.90 | 8.73x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 3.5K | $254.6K | $73.68 | 8.12x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 14.1K | $199.1K | $14.08 | 8.26x |
| 93325 | Doppler ultrasound study of color-directed heart blood flow, rate, and valve function | 8.0K | $191.5K | $24.08 | 29.38x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.8K | $187.6K | $65.89 | 5.32x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 906 | $142.1K | $156.84 | 8.23x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 926 | $132.9K | $143.57 | 5.51x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.3K | $105.7K | $45.05 | 14.08x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 674 | $92.5K | $137.25 | 4.65x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 658 | $83.8K | $127.30 | 6.91x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.1K | $79.1K | $38.13 | 7.27x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 397 | $72.9K | $183.68 | 3.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 985 | $64.9K | $65.94 | 4.53x |
This provider submits charges 7.58 times higher than what Medicare actually pays.
A markup ratio of 7.58x means for every $100 Medicare pays, this provider initially charges $758. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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