This provider's $10.6M in total Medicare payments ranks in the 99th 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 | $369.14 | $114.92 | 3.21x | $254.22 | $1.1M | 11.3K | 10.0K |
| 2015 | $402.74 | $125.15 | 3.22x | $277.59 | $1.1M | 11.8K | 10.2K |
| 2016 | $381.45 | $122.22 | 3.12x | $259.23 | $1.0M | 11.0K | 9.6K |
| 2017 | $420.77 | $125.66 | 3.35x | $295.11 | $1.1M | 11.5K | 10.0K |
| 2018 | $438.07 | $129.82 | 3.37x | $308.25 | $1.1M | 12.0K | 10.3K |
| 2019 | $387.92 | $124.98 | 3.10x | $262.94 | $1.0M | 11.7K | 9.3K |
| 2020 | $403.49 | $131.26 | 3.07x | $272.23 | $968.0K | 10.8K | 8.8K |
| 2021 | $402.74 | $134.13 | 3.00x | $268.61 | $1.1M | 11.1K | 8.9K |
| 2022 | $475.44 | $160.70 | 2.96x | $314.74 | $936.9K | 9.8K | 8.0K |
| 2023 | $431.06 | $151.78 | 2.84x | $279.28 | $1.1M | 9.8K | 8.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 23.3K | $1.9M | $80.55 | 2.68x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.7K | $1.3M | $361.24 | 2.77x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.3K | $976.8K | $117.70 | 3.00x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 869 | $588.8K | $677.59 | 4.12x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 1.1K | $484.8K | $458.67 | 2.85x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.4K | $385.6K | $158.04 | 2.61x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.6K | $369.5K | $140.38 | 2.79x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.6K | $334.1K | $91.54 | 2.59x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 153 | $305.0K | $2.0K | 2.21x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.8K | $283.0K | $155.33 | 2.69x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.2K | $239.1K | $195.99 | 3.55x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.8K | $201.9K | $110.79 | 2.63x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.3K | $193.3K | $57.93 | 2.53x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.1K | $190.5K | $47.00 | 3.34x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 157 | $189.8K | $1.2K | 3.31x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.9K | $162.2K | $83.73 | 2.53x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 903 | $159.9K | $177.04 | 3.33x |
| 99220 | Hospital observation care typically 70 minutes per day | 1.0K | $149.9K | $144.73 | 2.61x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 418 | $116.5K | $278.76 | 3.07x |
| 33340 | Repair of left upper heart | 176 | $108.1K | $614.47 | 2.80x |
This provider submits charges 2.92 times higher than what Medicare actually pays.
A markup ratio of 2.92x means for every $100 Medicare pays, this provider initially charges $292. 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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