This provider's $23.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 184% in 2021
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 | $1.9K | $655.28 | 2.87x | $1.2K | $14.3M | 24.1K | 17.1K |
| 2015 | $2.0K | $695.22 | 2.86x | $1.3K | $2.8M | 6.5K | 5.0K |
| 2020 | $1.5K | $654.29 | 2.25x | $818.22 | $656.4K | 1.8K | 1.2K |
| 2021 | $1.7K | $808.52 | 2.12x | $905.30 | $1.9M | 5.3K | 3.7K |
| 2022 | $1.2K | $538.94 | 2.14x | $613.95 | $1.9M | 8.9K | 6.1K |
| 2023 | $1.0K | $443.28 | 2.28x | $565.58 | $1.7M | 13.0K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 557 | $6.1M | $11.0K | 2.46x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 735 | $5.3M | $7.2K | 2.80x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 335 | $2.7M | $8.0K | 2.54x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.2K | $1.1M | $88.51 | 2.17x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 80 | $755.7K | $9.4K | 1.97x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 198 | $522.1K | $2.6K | 3.52x |
| 37236 | Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation | 217 | $496.7K | $2.3K | 2.43x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 418 | $445.8K | $1.1K | 2.72x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 148 | $404.4K | $2.7K | 2.04x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 291 | $368.8K | $1.3K | 2.62x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.8K | $314.1K | $172.09 | 2.52x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 263 | $286.5K | $1.1K | 2.72x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 483 | $275.4K | $570.10 | 2.28x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.9K | $254.8K | $137.31 | 2.60x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.7K | $250.4K | $147.89 | 2.90x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 687 | $242.9K | $353.57 | 2.11x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 143 | $233.0K | $1.6K | 3.88x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 278 | $217.3K | $781.73 | 2.34x |
| 36245 | Insertion of catheter into abdominal pelvic or leg artery | 385 | $211.4K | $549.14 | 4.81x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.5K | $200.7K | $129.93 | 2.84x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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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