This provider averages 57 services per working day
Based on 143.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 57 services per working day raises questions about billing patterns.
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 | $314.50 | $83.90 | 3.75x | $230.60 | $1.1M | 17.5K | 10.4K |
| 2015 | $299.34 | $83.20 | 3.60x | $216.14 | $994.8K | 16.2K | 10.0K |
| 2016 | $293.01 | $79.88 | 3.67x | $213.13 | $1.1M | 16.6K | 10.5K |
| 2017 | $300.45 | $83.83 | 3.58x | $216.62 | $1.1M | 16.9K | 11.3K |
| 2018 | $304.79 | $81.77 | 3.73x | $223.02 | $1.1M | 17.5K | 11.3K |
| 2019 | $316.46 | $90.93 | 3.48x | $225.53 | $1.0M | 15.1K | 10.6K |
| 2020 | $275.43 | $81.08 | 3.40x | $194.35 | $897.8K | 12.7K | 8.1K |
| 2021 | $202.84 | $62.40 | 3.25x | $140.44 | $917.4K | 11.4K | 7.7K |
| 2022 | $271.57 | $84.69 | 3.21x | $186.88 | $796.4K | 9.8K | 6.3K |
| 2023 | $248.48 | $67.27 | 3.69x | $181.21 | $707.3K | 10.0K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 41.2K | $2.1M | $50.12 | 3.47x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.2K | $1.6M | $313.35 | 3.33x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 4.7K | $1.3M | $278.45 | 1.48x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 10.9K | $1.0M | $94.78 | 4.38x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 17.2K | $926.2K | $53.89 | 3.29x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 4.2K | $444.8K | $106.59 | 3.64x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 648 | $275.1K | $424.53 | 3.18x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.6K | $258.3K | $101.23 | 3.20x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.8K | $227.7K | $47.06 | 4.78x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 1.4K | $216.1K | $154.12 | 3.83x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.3K | $149.6K | $44.79 | 3.31x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.2K | $141.2K | $44.22 | 3.77x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12.0K | $128.7K | $10.73 | 4.47x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $107.2K | $83.66 | 3.28x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 14.0K | $86.2K | $6.14 | 4.07x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 435 | $84.2K | $193.59 | 3.66x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 321 | $83.1K | $259.02 | 3.40x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 329 | $49.6K | $150.73 | 3.09x |
| 93455 | Insertion of catheter for imaging of heart blood vessels or grafts | 221 | $38.1K | $172.53 | 3.90x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 439 | $37.0K | $84.37 | 3.33x |
This provider submits charges 3.33 times higher than what Medicare actually pays.
A markup ratio of 3.33x means for every $100 Medicare pays, this provider initially charges $333. 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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