This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 152% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 97% in 2021
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 | $324.71 | $81.23 | 4.00x | $243.48 | $816.7K | 10.5K | 8.5K |
| 2015 | $315.72 | $73.39 | 4.30x | $242.33 | $644.3K | 8.8K | 6.8K |
| 2016 | $336.30 | $78.37 | 4.29x | $257.93 | $793.0K | 10.1K | 7.8K |
| 2017 | $378.52 | $124.95 | 3.03x | $253.57 | $1.5M | 11.3K | 9.2K |
| 2018 | $336.83 | $92.77 | 3.63x | $244.06 | $1.1M | 10.1K | 7.9K |
| 2019 | $350.48 | $82.77 | 4.23x | $267.71 | $1.1M | 10.7K | 8.5K |
| 2020 | $463.18 | $114.72 | 4.04x | $348.46 | $945.1K | 8.5K | 6.7K |
| 2021 | $540.34 | $134.87 | 4.01x | $405.47 | $1.9M | 12.3K | 10.0K |
| 2022 | $557.85 | $141.17 | 3.95x | $416.68 | $2.2M | 11.3K | 9.3K |
| 2023 | $651.53 | $168.81 | 3.86x | $482.72 | $2.1M | 9.8K | 8.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 8.5K | $3.2M | $371.21 | 4.95x |
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 1.9K | $2.0M | $1.1K | 3.59x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 783 | $1.1M | $1.4K | 3.83x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.7K | $937.9K | $348.26 | 1.72x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.0K | $805.7K | $89.37 | 1.84x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 7.2K | $726.5K | $101.46 | 2.96x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 6.6K | $620.6K | $94.48 | 2.37x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.2K | $595.1K | $96.05 | 5.04x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 9.4K | $542.5K | $57.91 | 7.77x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.6K | $468.0K | $177.89 | 2.39x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.7K | $446.2K | $164.59 | 4.68x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.6K | $360.6K | $64.48 | 2.45x |
| J2785 | Injection, regadenoson, 0.1 mg | 7.6K | $340.8K | $44.90 | 2.23x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 771 | $163.5K | $212.12 | 4.09x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 790 | $95.9K | $121.35 | 1.95x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 11.8K | $79.3K | $6.70 | 7.48x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 500 | $67.1K | $134.11 | 2.02x |
| 93922 | Ultrasound study of arteries of both arms and legs | 885 | $50.9K | $57.57 | 5.98x |
| 78472 | Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study | 204 | $40.1K | $196.69 | 5.36x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 2.3K | $38.5K | $16.42 | 2.62x |
This provider submits charges 3.82 times higher than what Medicare actually pays.
A markup ratio of 3.82x means for every $100 Medicare pays, this provider initially charges $382. 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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