This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 441% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 92% 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 | $270.11 | $76.17 | 3.55x | $193.94 | $315.2K | 5.6K | 3.7K |
| 2015 | $316.47 | $83.60 | 3.79x | $232.87 | $418.0K | 6.3K | 4.5K |
| 2016 | $293.60 | $73.65 | 3.99x | $219.95 | $658.2K | 9.4K | 6.6K |
| 2017 | $294.73 | $93.93 | 3.14x | $200.80 | $645.1K | 8.8K | 5.7K |
| 2018 | $302.52 | $95.52 | 3.17x | $207.00 | $599.0K | 8.0K | 5.1K |
| 2019 | $305.55 | $94.67 | 3.23x | $210.88 | $538.6K | 7.6K | 4.7K |
| 2020 | $304.40 | $94.39 | 3.22x | $210.01 | $534.1K | 7.1K | 4.8K |
| 2021 | $341.08 | $109.00 | 3.13x | $232.08 | $623.0K | 7.0K | 4.9K |
| 2022 | $349.45 | $109.34 | 3.20x | $240.11 | $1.2M | 14.5K | 9.9K |
| 2023 | $352.35 | $109.44 | 3.22x | $242.91 | $1.7M | 24.5K | 11.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.1K | $1.2M | $144.23 | 5.05x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 20.6K | $966.9K | $47.03 | 1.72x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.6K | $510.4K | $142.14 | 3.78x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.1K | $451.0K | $416.78 | 3.60x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 1.5K | $357.7K | $235.95 | 3.01x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.4K | $335.6K | $62.16 | 2.04x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.3K | $288.2K | $86.48 | 2.03x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 2.3K | $255.0K | $109.25 | 1.59x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.7K | $244.9K | $141.79 | 3.81x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.5K | $218.8K | $149.64 | 2.93x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.7K | $208.2K | $125.72 | 3.77x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 2.3K | $178.7K | $78.11 | 1.85x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 3.7K | $161.1K | $43.27 | 6.39x |
| G2064 | Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic co | 2.2K | $160.0K | $74.04 | 1.35x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.5K | $154.9K | $103.63 | 4.23x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 215 | $146.8K | $682.74 | 1.37x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.5K | $122.5K | $48.21 | 7.28x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 528 | $113.0K | $213.99 | 2.26x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.1K | $105.8K | $97.24 | 2.26x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 698 | $91.2K | $130.64 | 2.35x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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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