This provider's $3.9M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Their average markup ratio of 5.03x is significantly above the specialty median of 3.6x.
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 | $634.90 | $139.12 | 4.56x | $495.78 | $539.7K | 4.8K | 2.7K |
| 2015 | $511.41 | $107.28 | 4.77x | $404.13 | $399.2K | 3.8K | 2.6K |
| 2016 | $509.47 | $92.93 | 5.48x | $416.54 | $359.2K | 3.9K | 2.6K |
| 2017 | $521.49 | $111.73 | 4.67x | $409.76 | $305.6K | 3.0K | 2.2K |
| 2018 | $480.37 | $98.48 | 4.88x | $381.89 | $356.5K | 3.5K | 2.5K |
| 2019 | $533.89 | $107.05 | 4.99x | $426.84 | $381.3K | 4.1K | 2.7K |
| 2020 | $543.69 | $112.78 | 4.82x | $430.91 | $354.5K | 3.5K | 2.4K |
| 2021 | $578.61 | $126.05 | 4.59x | $452.56 | $352.1K | 3.1K | 2.3K |
| 2022 | $628.85 | $128.04 | 4.91x | $500.81 | $404.2K | 3.5K | 2.5K |
| 2023 | $619.95 | $121.18 | 5.12x | $498.77 | $419.8K | 3.5K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.1K | $904.7K | $177.32 | 7.33x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 3.1K | $689.6K | $221.73 | 4.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.1K | $665.2K | $93.31 | 1.61x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.2K | $457.4K | $144.71 | 6.91x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 1.7K | $358.3K | $213.02 | 6.10x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 1.5K | $193.5K | $128.51 | 4.69x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.8K | $164.7K | $58.94 | 1.72x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 675 | $113.6K | $168.27 | 2.62x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 8.3K | $103.3K | $12.52 | 9.99x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 804 | $89.2K | $110.93 | 2.03x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 340 | $52.2K | $153.58 | 4.06x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 50 | $22.2K | $444.66 | 4.05x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 350 | $11.6K | $33.20 | 1.98x |
| 0298T | Review and interpretation of external EKG recording for more than 48 hours up to 21 days | 364 | $7.4K | $20.20 | 9.88x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 100 | $6.7K | $67.33 | 7.43x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 50 | $6.2K | $123.93 | 1.35x |
| 0296T | External EKG recording for more than 48 hours up to 21 days | 391 | $6.1K | $15.62 | 4.86x |
| 93248 | Heart rhythm review and interpretation of continous external ekg over 8-15 days | 231 | $5.2K | $22.31 | 8.96x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 18 | $3.1K | $174.81 | 5.72x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 50 | $2.9K | $58.43 | 7.70x |
This provider submits charges 5.03 times higher than what Medicare actually pays.
A markup ratio of 5.03x means for every $100 Medicare pays, this provider initially charges $503. 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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