This provider's $5.2M 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 | $345.00 | $211.32 | 1.63x | $133.68 | $583.0K | 4.3K | 3.0K |
| 2015 | $347.52 | $206.12 | 1.69x | $141.40 | $532.3K | 4.3K | 2.9K |
| 2016 | $358.42 | $191.55 | 1.87x | $166.87 | $585.5K | 5.9K | 3.3K |
| 2017 | $314.52 | $170.86 | 1.84x | $143.66 | $532.1K | 5.6K | 3.4K |
| 2018 | $276.58 | $156.83 | 1.76x | $119.75 | $511.6K | 6.2K | 3.4K |
| 2019 | $778.22 | $160.00 | 4.86x | $618.22 | $391.9K | 6.7K | 5.1K |
| 2020 | $914.88 | $194.29 | 4.71x | $720.59 | $514.7K | 6.3K | 4.5K |
| 2021 | $914.76 | $194.17 | 4.71x | $720.59 | $480.3K | 6.4K | 4.6K |
| 2022 | $1.2K | $248.63 | 4.67x | $911.93 | $589.6K | 6.0K | 3.9K |
| 2023 | $614.98 | $112.43 | 5.47x | $502.55 | $504.4K | 8.1K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.4K | $672.4K | $105.79 | 1.53x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.2K | $471.7K | $113.19 | 3.38x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 486 | $439.1K | $903.40 | 3.48x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 626 | $393.4K | $628.37 | 6.09x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.9K | $243.3K | $83.82 | 4.55x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 203 | $241.6K | $1.2K | 4.45x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $192.6K | $89.32 | 2.08x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 556 | $156.4K | $281.37 | 3.34x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 7.4K | $152.6K | $20.66 | 3.30x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 935 | $143.0K | $152.93 | 1.69x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 195 | $140.6K | $720.94 | 2.57x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 653 | $138.3K | $211.85 | 1.46x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.8K | $125.0K | $70.31 | 1.97x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 294 | $119.3K | $405.62 | 3.98x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.0K | $101.1K | $51.42 | 2.00x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 145 | $97.7K | $673.56 | 2.68x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 462 | $74.1K | $160.37 | 1.38x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 585 | $69.8K | $119.37 | 3.85x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 172 | $64.8K | $376.48 | 1.59x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 193 | $64.0K | $331.71 | 1.35x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. 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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