This provider's $5.2M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 1561% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1564% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $681.69 | $181.12 | 3.76x | $500.57 | $160.3K | 2.1K | 1.8K |
| 2015 | $990.60 | $213.98 | 4.63x | $776.62 | $133.4K | 1.8K | 1.4K |
| 2016 | $1.1K | $233.20 | 4.55x | $827.23 | $152.0K | 852 | 644 |
| 2017 | $973.14 | $195.83 | 4.97x | $777.31 | $160.9K | 1.1K | 870 |
| 2018 | $935.43 | $199.03 | 4.70x | $736.40 | $136.4K | 903 | 732 |
| 2019 | $1.3K | $265.95 | 4.96x | $1.1K | $167.0K | 1.1K | 844 |
| 2020 | $818.40 | $186.96 | 4.38x | $631.44 | $103.5K | 790 | 553 |
| 2021 | $798.61 | $172.69 | 4.62x | $625.92 | $86.9K | 651 | 532 |
| 2022 | $7.1K | $1.6K | 4.35x | $5.5K | $1.4M | 1.2K | 940 |
| 2023 | $7.1K | $1.6K | 4.40x | $5.5K | $2.7M | 2.1K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37227 | Removal of plaque and insertion of stents in arteries of leg | 166 | $1.7M | $10.2K | 4.12x |
| 37231 | Removal of plaque and insertion of stents in artery of leg, initial vessel | 62 | $720.1K | $11.6K | 3.77x |
| 37229 | Removal of plaque in artery of leg, initial vessel | 88 | $651.4K | $7.4K | 4.66x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 747 | $379.8K | $508.42 | 3.92x |
| 37225 | Removal of plaque in arteries of leg | 45 | $296.8K | $6.6K | 5.17x |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 284 | $264.9K | $932.64 | 3.92x |
| 36247 | Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 271 | $185.5K | $684.59 | 7.84x |
| 33362 | Replacement of aortic valve with prosthetic valve, open procedure | 207 | $160.4K | $774.91 | 6.37x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.1K | $128.2K | $61.77 | 2.53x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 662 | $104.4K | $157.72 | 5.28x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 389 | $83.5K | $214.55 | 4.87x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 667 | $58.5K | $87.75 | 2.45x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 179 | $53.7K | $299.91 | 4.33x |
| 99238 | Hospital discharge day management, 30 minutes or less | 836 | $52.4K | $62.72 | 2.50x |
| 37253 | Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 283 | $44.9K | $158.79 | 3.80x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 328 | $37.4K | $113.98 | 2.57x |
| 75716 | Review by radiologist of both arms or legs arteries image | 239 | $35.7K | $149.48 | 3.81x |
| 92978 | Ultrasound evaluation of heart blood vessel or graft | 402 | $32.8K | $81.66 | 3.77x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 181 | $30.7K | $169.45 | 2.62x |
| 75625 | Review by radiologist of abdominal aorta image | 210 | $24.5K | $116.56 | 3.84x |
This provider submits charges 4.32 times higher than what Medicare actually pays.
A markup ratio of 4.32x means for every $100 Medicare pays, this provider initially charges $432. 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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