This provider's $5.4M in total Medicare payments ranks in the 98th percentile of Interventional Cardiology providers nationally.
Their average markup ratio of 8.28x is significantly above the specialty median of 4.0x.
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 | $1.9K | $149.96 | 12.95x | $1.8K | $409.0K | 3.5K | 2.6K |
| 2015 | $1.7K | $180.65 | 9.35x | $1.5K | $487.0K | 3.6K | 2.8K |
| 2016 | $943.75 | $137.29 | 6.87x | $806.46 | $596.5K | 4.8K | 3.8K |
| 2017 | $1.4K | $145.91 | 9.41x | $1.2K | $565.0K | 4.6K | 3.7K |
| 2018 | $1.9K | $165.26 | 11.57x | $1.7K | $623.2K | 5.0K | 3.8K |
| 2019 | $2.6K | $176.65 | 14.90x | $2.5K | $646.3K | 5.1K | 4.2K |
| 2020 | $1.0K | $124.79 | 8.39x | $922.75 | $458.1K | 3.9K | 3.1K |
| 2021 | $2.4K | $242.62 | 9.98x | $2.2K | $533.7K | 3.5K | 2.8K |
| 2022 | $2.9K | $285.92 | 10.28x | $2.7K | $564.9K | 3.6K | 2.9K |
| 2023 | $2.8K | $253.09 | 10.96x | $2.5K | $479.2K | 3.5K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 1.6K | $1.4M | $848.23 | 9.33x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.8K | $760.3K | $97.78 | 3.65x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 1.3K | $716.0K | $557.23 | 5.43x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.1K | $525.9K | $251.37 | 13.30x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 895 | $322.1K | $359.93 | 8.55x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 755 | $147.0K | $194.68 | 3.75x |
| 93456 | Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts | 408 | $124.0K | $303.90 | 6.97x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 803 | $123.5K | $153.84 | 4.10x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 587 | $108.4K | $184.75 | 4.59x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.6K | $106.6K | $67.74 | 4.83x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 334 | $91.5K | $273.83 | 11.10x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.9K | $84.8K | $14.39 | 6.94x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 439 | $75.1K | $171.01 | 8.59x |
| 93461 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 160 | $63.5K | $397.03 | 9.41x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 437 | $56.6K | $129.62 | 5.06x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 49 | $53.5K | $1.1K | 14.64x |
| 92986 | Balloon dilation repair of aortic valve | 33 | $44.8K | $1.4K | 5.10x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 85 | $44.7K | $526.21 | 5.34x |
| 33365 | Replacement of aortic valve with prosthetic valve | 34 | $37.1K | $1.1K | 6.69x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 134 | $35.3K | $263.09 | 40.24x |
This provider submits charges 8.28 times higher than what Medicare actually pays.
A markup ratio of 8.28x means for every $100 Medicare pays, this provider initially charges $828. 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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