This provider averages 53 services per working day
Based on 133.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.7M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Averaging 53 services per working day raises questions about billing patterns.
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 | $527.06 | $182.40 | 2.89x | $344.66 | $2.8M | 18.0K | 9.8K |
| 2015 | $553.73 | $181.98 | 3.04x | $371.75 | $2.2M | 16.2K | 8.9K |
| 2016 | $542.07 | $178.29 | 3.04x | $363.78 | $2.0M | 14.8K | 8.1K |
| 2017 | $485.07 | $156.15 | 3.11x | $328.92 | $2.3M | 15.4K | 8.8K |
| 2018 | $626.72 | $215.56 | 2.91x | $411.16 | $2.8M | 14.8K | 8.8K |
| 2019 | $633.77 | $210.45 | 3.01x | $423.32 | $2.6M | 13.4K | 7.8K |
| 2020 | $548.12 | $195.05 | 2.81x | $353.07 | $1.9M | 10.8K | 6.5K |
| 2021 | $496.20 | $195.29 | 2.54x | $300.91 | $1.9M | 10.3K | 6.6K |
| 2022 | $590.88 | $203.28 | 2.91x | $387.60 | $1.7M | 10.0K | 6.6K |
| 2023 | $487.93 | $184.54 | 2.64x | $303.39 | $1.6M | 9.7K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 4.6K | $6.1M | $1.3K | 2.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 49.8K | $3.0M | $59.48 | 2.68x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 1.4K | $2.5M | $1.8K | 2.71x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.6K | $2.2M | $1.4K | 3.27x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 4.6K | $1.5M | $321.14 | 2.18x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 14.5K | $1.3M | $88.14 | 2.27x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.4K | $565.9K | $164.22 | 2.69x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 3.4K | $550.7K | $163.66 | 3.21x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.2K | $328.7K | $63.76 | 4.71x |
| G0166 | External counterpulsation, per treatment session | 2.7K | $328.1K | $119.50 | 2.94x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.0K | $328.0K | $160.56 | 2.49x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 3.0K | $326.1K | $108.15 | 3.24x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.0K | $323.5K | $159.85 | 3.13x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.2K | $273.2K | $219.60 | 2.28x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.9K | $218.7K | $44.26 | 3.64x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 502 | $217.5K | $433.24 | 2.08x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.4K | $203.3K | $83.82 | 2.66x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 2.1K | $186.7K | $88.77 | 1.35x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 160 | $170.4K | $1.1K | 3.29x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.3K | $113.4K | $34.12 | 4.16x |
This provider submits charges 2.7 times higher than what Medicare actually pays.
A markup ratio of 2.7x means for every $100 Medicare pays, this provider initially charges $270. 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.
Other Interventional Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Moinakhtar Lala, M.D. | Reseda, CA | $43.9M | ✓ Clear |
| Mohamed Khan, M.D. | Redding, CA | $42.2M | ✓ Clear |
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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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