This provider averages 54 services per working day
Based on 134.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
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 | $129.92 | $71.43 | 1.82x | $58.49 | $824.0K | 11.5K | 8.0K |
| 2015 | $132.35 | $74.27 | 1.78x | $58.08 | $1.0M | 12.6K | 9.3K |
| 2016 | $135.12 | $74.79 | 1.81x | $60.33 | $1.2M | 14.8K | 9.7K |
| 2017 | $149.47 | $79.19 | 1.89x | $70.28 | $1.2M | 14.1K | 9.8K |
| 2018 | $154.74 | $83.36 | 1.86x | $71.38 | $1.2M | 17.1K | 10.0K |
| 2019 | $143.85 | $80.15 | 1.79x | $63.70 | $1.1M | 13.3K | 9.5K |
| 2020 | $288.64 | $200.39 | 1.44x | $88.25 | $1.0M | 11.5K | 8.5K |
| 2021 | $330.36 | $205.19 | 1.61x | $125.17 | $1.2M | 11.1K | 8.1K |
| 2022 | $326.20 | $173.84 | 1.88x | $152.36 | $1.1M | 13.9K | 8.6K |
| 2023 | $426.55 | $169.15 | 2.52x | $257.40 | $1.2M | 15.0K | 9.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 29.0K | $2.5M | $86.48 | 1.81x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.2K | $2.4M | $385.52 | 1.77x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 11.9K | $1.8M | $155.48 | 1.80x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 5.4K | $496.7K | $92.64 | 1.87x |
| 33285 | Insertion of heart rhythm monitor under skin | 117 | $448.5K | $3.8K | 1.91x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.0K | $417.1K | $59.77 | 1.63x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.2K | $402.9K | $127.22 | 1.84x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 31.9K | $401.6K | $12.59 | 1.90x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $230.9K | $123.49 | 1.94x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 5.1K | $172.0K | $33.75 | 3.79x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.8K | $166.5K | $44.33 | 1.70x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.1K | $162.9K | $52.37 | 2.21x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.4K | $160.3K | $111.25 | 1.67x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.1K | $148.1K | $129.82 | 2.08x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 640 | $133.4K | $208.50 | 1.62x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 614 | $98.9K | $161.06 | 1.90x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.6K | $82.6K | $50.40 | 2.01x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.0K | $67.4K | $66.62 | 1.92x |
| 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 | 2.2K | $65.6K | $29.79 | 2.64x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 385 | $60.7K | $157.75 | 1.84x |
This provider submits charges 1.86 times higher than what Medicare actually pays.
A markup ratio of 1.86x means for every $100 Medicare pays, this provider initially charges $186. This is lower 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.
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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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