This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $489.74 | $123.58 | 3.96x | $366.16 | $593.6K | 7.6K | 4.3K |
| 2015 | $606.46 | $157.19 | 3.86x | $449.27 | $593.0K | 7.9K | 4.7K |
| 2016 | $541.37 | $131.69 | 4.11x | $409.68 | $668.6K | 9.1K | 5.2K |
| 2017 | $632.45 | $153.21 | 4.13x | $479.24 | $721.8K | 9.8K | 5.3K |
| 2018 | $553.79 | $131.44 | 4.21x | $422.35 | $634.8K | 9.1K | 5.7K |
| 2019 | $531.16 | $129.10 | 4.11x | $402.06 | $653.7K | 9.7K | 5.9K |
| 2020 | $562.34 | $134.73 | 4.17x | $427.61 | $744.8K | 9.4K | 6.2K |
| 2021 | $580.43 | $151.21 | 3.84x | $429.22 | $824.2K | 10.0K | 6.0K |
| 2022 | $576.14 | $143.82 | 4.01x | $432.32 | $770.1K | 9.7K | 5.9K |
| 2023 | $555.70 | $139.11 | 3.99x | $416.59 | $758.2K | 10.0K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 23.2K | $2.3M | $98.71 | 4.09x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.0K | $914.7K | $184.00 | 4.15x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 11.8K | $786.0K | $66.43 | 3.76x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.2K | $570.6K | $176.43 | 4.11x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 30.8K | $438.2K | $14.22 | 4.13x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.4K | $412.5K | $64.09 | 4.22x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 1.4K | $301.9K | $219.53 | 4.02x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 783 | $210.4K | $268.69 | 4.30x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.6K | $203.5K | $124.84 | 3.78x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $188.6K | $147.61 | 3.96x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 302 | $174.4K | $577.48 | 3.95x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $119.0K | $94.77 | 4.10x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 1.4K | $68.6K | $50.63 | 3.75x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 165 | $34.9K | $211.66 | 4.35x |
| 99239 | Hospital discharge day management, more than 30 minutes | 355 | $34.3K | $96.69 | 3.81x |
| 93325 | Doppler ultrasound study of color-directed heart blood flow, rate, and valve function | 1.4K | $32.6K | $24.06 | 3.77x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 300 | $28.3K | $94.29 | 3.80x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 92 | $28.0K | $304.53 | 4.26x |
| 99219 | Hospital observation care typically 50 minutes | 219 | $26.5K | $120.80 | 3.89x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 152 | $15.4K | $101.13 | 1.55x |
This provider submits charges 4.04 times higher than what Medicare actually pays.
A markup ratio of 4.04x means for every $100 Medicare pays, this provider initially charges $404. 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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