This provider's $19.5M in total Medicare payments ranks in the 99th 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 | $2.1K | $698.70 | 3.02x | $1.4K | $2.3M | 11.7K | 10.1K |
| 2015 | $2.1K | $727.34 | 2.83x | $1.3K | $2.0M | 11.7K | 9.8K |
| 2016 | $1.9K | $681.51 | 2.82x | $1.2K | $2.1M | 11.6K | 9.1K |
| 2017 | $2.1K | $676.69 | 3.14x | $1.4K | $2.2M | 12.5K | 9.4K |
| 2018 | $2.0K | $679.15 | 2.88x | $1.3K | $2.2M | 11.1K | 8.7K |
| 2019 | $2.2K | $764.30 | 2.82x | $1.4K | $1.9M | 10.7K | 8.4K |
| 2020 | $2.0K | $698.06 | 2.82x | $1.3K | $1.8M | 10.0K | 7.8K |
| 2021 | $1.4K | $492.48 | 2.89x | $931.21 | $1.7M | 9.8K | 7.5K |
| 2022 | $1.6K | $569.31 | 2.80x | $1.0K | $1.6M | 9.0K | 6.7K |
| 2023 | $1.2K | $400.79 | 2.96x | $784.84 | $1.6M | 9.5K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 486 | $3.8M | $7.9K | 2.74x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 194 | $2.1M | $11.0K | 2.66x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 271 | $2.0M | $7.3K | 3.00x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 19.0K | $1.5M | $81.61 | 2.68x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 686 | $1.3M | $1.9K | 2.43x |
| 37226 | Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 170 | $1.1M | $6.6K | 2.90x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.6K | $973.6K | $71.85 | 2.70x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 790 | $874.7K | $1.1K | 2.66x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.4K | $574.9K | $237.97 | 2.66x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.5K | $462.8K | $313.57 | 2.55x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 166 | $420.6K | $2.5K | 4.13x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.5K | $395.7K | $52.93 | 3.24x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 4.7K | $380.0K | $80.91 | 2.76x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 6.8K | $280.9K | $41.60 | 2.54x |
| 36246 | Insertion of catheter into abdominal pelvic or leg artery | 695 | $250.5K | $360.43 | 4.89x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.5K | $200.7K | $57.02 | 2.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $200.0K | $117.29 | 2.84x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 170 | $190.4K | $1.1K | 2.88x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.1K | $184.4K | $88.08 | 2.42x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.6K | $173.4K | $108.05 | 2.58x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data