This provider's $4.9M in total Medicare payments ranks in the 98th 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.
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 | $214.95 | $58.03 | 3.70x | $156.92 | $425.4K | 5.9K | 4.4K |
| 2015 | $208.74 | $56.54 | 3.69x | $152.20 | $338.8K | 5.6K | 3.9K |
| 2016 | $232.43 | $60.90 | 3.82x | $171.53 | $325.0K | 5.2K | 3.5K |
| 2017 | $246.05 | $63.26 | 3.89x | $182.79 | $405.7K | 5.4K | 3.7K |
| 2018 | $249.21 | $61.87 | 4.03x | $187.34 | $493.6K | 5.8K | 3.8K |
| 2019 | $226.25 | $58.60 | 3.86x | $167.65 | $697.3K | 6.7K | 4.5K |
| 2020 | $221.99 | $58.66 | 3.78x | $163.33 | $641.0K | 5.9K | 3.9K |
| 2021 | $237.73 | $65.45 | 3.63x | $172.28 | $649.3K | 5.5K | 3.3K |
| 2022 | $287.48 | $70.94 | 4.05x | $216.54 | $382.9K | 3.8K | 3.1K |
| 2023 | $369.40 | $77.97 | 4.74x | $291.43 | $498.9K | 4.3K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.3K | $1.5M | $449.47 | 4.26x |
| 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 | 2.9K | $639.9K | $220.29 | 3.76x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.1K | $424.1K | $198.93 | 4.79x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 2.0K | $417.3K | $212.68 | 3.28x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.1K | $318.0K | $101.36 | 3.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.9K | $317.5K | $64.30 | 3.38x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.6K | $285.6K | $110.95 | 3.37x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.5K | $208.4K | $59.34 | 6.68x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 755 | $148.7K | $196.90 | 2.30x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.4K | $63.6K | $44.09 | 3.87x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 372 | $53.1K | $142.70 | 3.69x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 341 | $47.4K | $139.10 | 2.72x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.7K | $38.8K | $14.15 | 5.49x |
| 80053 | Blood test, comprehensive group of blood chemicals | 3.1K | $38.5K | $12.26 | 5.10x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 1.9K | $38.1K | $19.86 | 3.97x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 3.3K | $30.5K | $9.31 | 3.11x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 456 | $29.6K | $64.87 | 3.25x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 2.2K | $26.9K | $12.00 | 4.14x |
| 90662 | Vaccine for influenza for injection into muscle | 574 | $26.7K | $46.53 | 2.35x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 447 | $23.3K | $52.08 | 3.86x |
This provider submits charges 3.99 times higher than what Medicare actually pays.
A markup ratio of 3.99x means for every $100 Medicare pays, this provider initially charges $399. 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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