This provider's $4.8M 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 | $1.7K | $399.85 | 4.26x | $1.3K | $502.0K | 3.4K | 2.3K |
| 2015 | $989.51 | $210.87 | 4.69x | $778.64 | $378.4K | 3.4K | 2.2K |
| 2016 | $878.18 | $191.25 | 4.59x | $686.93 | $345.1K | 3.5K | 2.0K |
| 2017 | $1.1K | $246.25 | 4.51x | $863.19 | $416.5K | 3.5K | 2.1K |
| 2018 | $1.2K | $277.21 | 4.36x | $932.40 | $520.8K | 4.7K | 2.2K |
| 2019 | $1.4K | $334.97 | 4.08x | $1.0K | $541.4K | 4.9K | 1.8K |
| 2020 | $713.48 | $153.36 | 4.65x | $560.12 | $561.5K | 9.5K | 3.1K |
| 2021 | $665.44 | $146.30 | 4.55x | $519.14 | $632.7K | 11.1K | 3.1K |
| 2022 | $1.2K | $263.43 | 4.71x | $977.89 | $537.6K | 10.0K | 2.3K |
| 2023 | $225.45 | $61.16 | 3.69x | $164.29 | $384.9K | 9.5K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.5K | $431.0K | $78.43 | 2.60x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 7.8K | $336.1K | $43.21 | 2.66x |
| 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 | 4.0K | $333.7K | $83.39 | 4.70x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 7.7K | $297.5K | $38.52 | 2.59x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 2.8K | $288.1K | $103.21 | 3.80x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 6.8K | $217.1K | $31.74 | 2.60x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 190 | $216.1K | $1.1K | 5.22x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.5K | $205.1K | $81.19 | 2.26x |
| 33285 | Insertion of heart rhythm monitor under skin | 67 | $199.4K | $3.0K | 3.25x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 65 | $198.3K | $3.1K | 3.30x |
| 36252 | Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation | 205 | $196.6K | $959.01 | 5.15x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 531 | $168.0K | $316.37 | 2.63x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 167 | $163.1K | $976.55 | 3.97x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 481 | $156.5K | $325.41 | 6.57x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 84 | $107.5K | $1.3K | 4.41x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 949 | $100.4K | $105.78 | 2.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $93.2K | $56.40 | 2.44x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 11 | $88.5K | $8.0K | 3.89x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.0K | $86.6K | $85.89 | 4.15x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 518 | $79.5K | $153.56 | 2.13x |
This provider submits charges 3.7 times higher than what Medicare actually pays.
A markup ratio of 3.7x means for every $100 Medicare pays, this provider initially charges $370. 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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