This provider's $5.3M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Their average markup ratio of 5.4x is significantly above the specialty median of 3.6x.
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 | $314.57 | $95.89 | 3.28x | $218.68 | $475.3K | 4.7K | 3.8K |
| 2015 | $345.84 | $102.58 | 3.37x | $243.26 | $461.7K | 4.5K | 3.6K |
| 2016 | $476.76 | $106.35 | 4.48x | $370.41 | $522.5K | 4.8K | 3.9K |
| 2017 | $660.37 | $98.06 | 6.73x | $562.31 | $527.2K | 4.9K | 4.0K |
| 2018 | $676.26 | $103.91 | 6.51x | $572.35 | $503.5K | 4.7K | 3.7K |
| 2019 | $663.79 | $101.35 | 6.55x | $562.44 | $579.5K | 5.6K | 4.5K |
| 2020 | $677.05 | $102.07 | 6.63x | $574.98 | $564.0K | 5.2K | 4.3K |
| 2021 | $603.50 | $93.37 | 6.46x | $510.13 | $628.4K | 6.0K | 5.2K |
| 2022 | $598.20 | $91.03 | 6.57x | $507.17 | $507.6K | 4.8K | 4.1K |
| 2023 | $615.14 | $95.57 | 6.44x | $519.57 | $565.6K | 5.1K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.0K | $927.2K | $154.54 | 6.68x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.9K | $856.8K | $450.22 | 4.55x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.6K | $740.5K | $97.35 | 4.63x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.4K | $422.1K | $179.24 | 4.33x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.3K | $392.6K | $168.15 | 6.61x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.9K | $319.6K | $65.39 | 3.94x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.3K | $310.5K | $135.24 | 4.33x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.9K | $302.8K | $159.44 | 3.69x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.3K | $134.1K | $59.59 | 9.61x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.5K | $111.8K | $76.34 | 9.11x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 457 | $105.8K | $231.52 | 5.39x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 980 | $92.4K | $94.31 | 3.75x |
| 93979 | Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan | 748 | $71.8K | $96.03 | 7.90x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 375 | $69.8K | $186.09 | 4.69x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.3K | $61.4K | $45.50 | 3.81x |
| 99285 | Emergency department visit, problem with significant threat to life or function | 380 | $60.5K | $159.29 | 5.12x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.3K | $46.4K | $13.96 | 9.25x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 293 | $43.9K | $149.70 | 8.28x |
| 93923 | Ultrasound study of arteries of both arms and legs | 296 | $34.9K | $117.96 | 7.03x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 3.5K | $25.9K | $7.39 | 5.95x |
This provider submits charges 5.4 times higher than what Medicare actually pays.
A markup ratio of 5.4x means for every $100 Medicare pays, this provider initially charges $540. 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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