This provider's $10.8M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 90% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $271.40 | $100.79 | 2.69x | $170.61 | $753.9K | 8.2K | 5.8K |
| 2015 | $310.79 | $107.68 | 2.89x | $203.11 | $757.3K | 8.3K | 5.9K |
| 2016 | $255.50 | $103.80 | 2.46x | $151.70 | $876.0K | 9.4K | 6.7K |
| 2017 | $244.14 | $97.30 | 2.51x | $146.84 | $766.7K | 8.6K | 6.1K |
| 2018 | $243.53 | $95.78 | 2.54x | $147.75 | $704.8K | 8.4K | 5.6K |
| 2019 | $394.12 | $157.06 | 2.51x | $237.06 | $1.1M | 9.2K | 6.2K |
| 2020 | $375.28 | $146.52 | 2.56x | $228.76 | $1.5M | 9.4K | 6.9K |
| 2021 | $410.43 | $163.20 | 2.51x | $247.23 | $1.5M | 9.2K | 6.8K |
| 2022 | $396.99 | $160.14 | 2.48x | $236.85 | $1.4M | 9.5K | 7.1K |
| 2023 | $372.70 | $149.32 | 2.50x | $223.38 | $1.4M | 9.6K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 2.0K | $2.6M | $1.3K | 2.84x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 29.0K | $1.9M | $66.17 | 1.94x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 5.5K | $1.3M | $229.96 | 2.32x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 5.3K | $977.6K | $184.18 | 2.68x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.0K | $903.8K | $462.54 | 1.26x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.4K | $639.2K | $441.44 | 2.19x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.4K | $528.6K | $155.25 | 2.98x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.1K | $334.6K | $65.76 | 2.26x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 5.5K | $276.2K | $50.41 | 5.86x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.4K | $218.6K | $63.67 | 6.02x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.3K | $167.5K | $124.55 | 2.12x |
| 93325 | Doppler ultrasound study of color-directed heart blood flow, rate, and valve function | 5.5K | $132.3K | $24.08 | 10.20x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.9K | $130.5K | $44.41 | 2.03x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.9K | $84.0K | $14.27 | 6.22x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 595 | $83.9K | $141.05 | 2.48x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 331 | $74.4K | $224.68 | 1.56x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 79 | $61.7K | $780.46 | 1.92x |
| 90662 | Vaccine for influenza for injection into muscle | 908 | $55.3K | $60.94 | 1.05x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 182 | $54.9K | $301.56 | 3.27x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.4K | $48.7K | $34.99 | 1.30x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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