This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 55% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 61% in 2016
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 | $187.39 | $95.83 | 1.96x | $91.56 | $699.2K | 7.8K | 5.7K |
| 2015 | $214.76 | $109.56 | 1.96x | $105.20 | $287.9K | 3.2K | 2.4K |
| 2016 | $315.38 | $117.68 | 2.68x | $197.70 | $464.7K | 4.8K | 3.2K |
| 2017 | $259.88 | $105.85 | 2.46x | $154.03 | $539.0K | 5.8K | 3.9K |
| 2018 | $277.11 | $113.53 | 2.44x | $163.58 | $602.6K | 6.1K | 4.2K |
| 2019 | $267.40 | $113.81 | 2.35x | $153.59 | $698.2K | 7.6K | 5.1K |
| 2020 | $544.62 | $269.81 | 2.02x | $274.81 | $656.0K | 6.5K | 4.2K |
| 2021 | $271.46 | $107.92 | 2.52x | $163.54 | $587.4K | 6.4K | 4.8K |
| 2022 | $377.28 | $224.56 | 1.68x | $152.72 | $847.7K | 7.9K | 5.9K |
| 2023 | $436.45 | $232.81 | 1.87x | $203.64 | $1.1M | 11.3K | 7.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.8K | $1.5M | $87.25 | 1.98x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.7K | $1.0M | $381.90 | 1.83x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.7K | $683.4K | $146.40 | 1.86x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.9K | $423.6K | $86.36 | 1.79x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.0K | $335.2K | $168.64 | 1.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.4K | $291.1K | $123.86 | 1.95x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.6K | $258.3K | $163.79 | 1.80x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 347 | $240.2K | $692.25 | 1.73x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.5K | $223.8K | $151.13 | 1.99x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 421 | $216.8K | $514.94 | 2.09x |
| 33285 | Insertion of heart rhythm monitor under skin | 44 | $166.3K | $3.8K | 1.77x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.6K | $142.4K | $12.27 | 2.11x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.4K | $126.7K | $51.95 | 2.40x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 394 | $82.2K | $208.73 | 2.94x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 305 | $80.1K | $262.62 | 4.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $77.0K | $61.18 | 2.01x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.2K | $67.6K | $58.48 | 1.64x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 718 | $67.3K | $93.78 | 1.96x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 421 | $52.5K | $124.81 | 1.84x |
| 93356 | Heart muscle strain imaging | 1.5K | $47.3K | $31.32 | 1.65x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. This is lower 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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