This provider averages 59 services per working day
Based on 148.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.1M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 59 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 81% 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 | $211.09 | $74.95 | 2.82x | $136.14 | $1.1M | 13.9K | 11.4K |
| 2015 | $233.57 | $78.43 | 2.98x | $155.14 | $1.1M | 13.9K | 11.5K |
| 2016 | $234.91 | $78.93 | 2.98x | $155.98 | $1.1M | 13.3K | 11.2K |
| 2017 | $236.82 | $79.18 | 2.99x | $157.64 | $1.1M | 13.7K | 11.5K |
| 2018 | $217.78 | $73.23 | 2.97x | $144.55 | $1.1M | 12.9K | 10.8K |
| 2019 | $216.55 | $70.91 | 3.05x | $145.64 | $1.1M | 15.1K | 12.3K |
| 2020 | $212.82 | $69.08 | 3.08x | $143.74 | $1.0M | 14.9K | 11.9K |
| 2021 | $230.84 | $77.99 | 2.96x | $152.85 | $1.2M | 16.2K | 12.7K |
| 2022 | $289.18 | $97.55 | 2.96x | $191.63 | $1.4M | 17.8K | 13.8K |
| 2023 | $300.47 | $104.24 | 2.88x | $196.23 | $1.9M | 16.4K | 12.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 30.7K | $2.5M | $82.41 | 2.63x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.0K | $1.6M | $123.99 | 3.00x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.7K | $1.3M | $357.73 | 2.75x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 484 | $970.6K | $2.0K | 2.20x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 4.6K | $668.2K | $145.51 | 2.71x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.1K | $486.5K | $157.81 | 2.62x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.5K | $413.8K | $117.49 | 2.84x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.7K | $335.4K | $91.88 | 2.58x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.6K | $325.7K | $57.92 | 2.55x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.9K | $324.0K | $82.75 | 2.56x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $233.8K | $52.73 | 2.77x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.4K | $213.7K | $48.64 | 3.23x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.6K | $201.8K | $126.23 | 3.44x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 484 | $151.1K | $312.21 | 2.56x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 1.7K | $144.9K | $87.30 | 2.77x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.9K | $128.3K | $11.82 | 3.47x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 711 | $127.5K | $179.38 | 3.28x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 401 | $127.5K | $318.03 | 2.69x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.6K | $115.9K | $44.13 | 2.58x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $115.8K | $95.99 | 3.03x |
This provider submits charges 2.77 times higher than what Medicare actually pays.
A markup ratio of 2.77x means for every $100 Medicare pays, this provider initially charges $277. 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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