This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 139% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 159% in 2017
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 | $628.34 | $106.32 | 5.91x | $522.02 | $577.5K | 8.7K | 6.5K |
| 2015 | $579.88 | $95.95 | 6.04x | $483.93 | $565.5K | 8.1K | 6.2K |
| 2016 | $1.9K | $357.61 | 5.34x | $1.6K | $876.6K | 7.3K | 5.7K |
| 2017 | $3.7K | $681.54 | 5.37x | $3.0K | $2.3M | 7.1K | 5.5K |
| 2018 | $3.9K | $683.08 | 5.76x | $3.2K | $1.8M | 7.7K | 6.1K |
| 2019 | $3.0K | $553.80 | 5.34x | $2.4K | $1.5M | 8.0K | 6.3K |
| 2020 | $3.6K | $636.77 | 5.58x | $2.9K | $1.3M | 7.0K | 5.5K |
| 2021 | $3.2K | $564.91 | 5.68x | $2.6K | $1.4M | 8.5K | 6.5K |
| 2022 | $3.3K | $495.11 | 6.59x | $2.8K | $1.3M | 8.3K | 6.2K |
| 2023 | $3.4K | $507.47 | 6.71x | $2.9K | $1.4M | 7.9K | 6.2K |
| 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 | 360 | $4.1M | $11.5K | 5.60x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 194 | $1.7M | $8.6K | 5.55x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.1K | $1.1M | $89.00 | 1.84x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 5.6K | $704.5K | $126.27 | 1.88x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 4.2K | $673.6K | $159.81 | 4.74x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.3K | $630.8K | $145.92 | 5.16x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 8.5K | $536.5K | $62.82 | 2.48x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 1.1K | $363.4K | $340.91 | 6.67x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 100 | $314.9K | $3.1K | 7.55x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.8K | $303.8K | $172.90 | 2.46x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 886 | $238.9K | $269.65 | 8.53x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 642 | $195.3K | $304.16 | 9.73x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.3K | $183.2K | $137.24 | 4.88x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.9K | $176.6K | $92.54 | 2.42x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 935 | $159.7K | $170.83 | 2.01x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 49 | $151.0K | $3.1K | 6.73x |
| 71275 | CT scan of blood vessels in chest with contrast | 735 | $118.6K | $161.38 | 14.28x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.1K | $103.9K | $33.57 | 2.23x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 572 | $90.3K | $157.91 | 4.44x |
| 37230 | Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 14 | $87.3K | $6.2K | 5.80x |
This provider submits charges 4.93 times higher than what Medicare actually pays.
A markup ratio of 4.93x means for every $100 Medicare pays, this provider initially charges $493. 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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