This provider's $7.1M 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 | $270.00 | $128.56 | 2.10x | $141.44 | $734.9K | 7.3K | 5.4K |
| 2015 | $212.77 | $124.08 | 1.71x | $88.69 | $773.3K | 7.7K | 5.7K |
| 2016 | $215.00 | $122.58 | 1.75x | $92.42 | $746.9K | 7.8K | 5.7K |
| 2017 | $217.81 | $118.46 | 1.84x | $99.35 | $712.7K | 7.8K | 5.8K |
| 2018 | $204.06 | $114.04 | 1.79x | $90.02 | $731.5K | 7.4K | 5.7K |
| 2019 | $218.04 | $114.77 | 1.90x | $103.27 | $703.3K | 7.4K | 5.5K |
| 2020 | $179.55 | $102.27 | 1.76x | $77.28 | $623.7K | 6.4K | 4.9K |
| 2021 | $192.50 | $110.91 | 1.74x | $81.59 | $710.3K | 6.9K | 5.2K |
| 2022 | $199.79 | $108.84 | 1.84x | $90.95 | $683.7K | 6.8K | 5.4K |
| 2023 | $179.55 | $96.07 | 1.87x | $83.48 | $707.5K | 7.5K | 5.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78451 | Nuclear medicine study of vessels of heart using drugs or exercise single study | 10.1K | $3.0M | $293.70 | 1.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 20.6K | $1.1M | $55.64 | 1.62x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 10.1K | $861.2K | $85.15 | 1.47x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.0K | $699.7K | $174.75 | 1.95x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 10.5K | $579.8K | $55.39 | 2.53x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.1K | $335.8K | $161.35 | 1.86x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.6K | $151.7K | $13.12 | 2.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $143.6K | $71.80 | 2.79x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 480 | $68.9K | $143.61 | 1.60x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 130 | $56.2K | $431.95 | 1.62x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 250 | $37.7K | $150.99 | 2.04x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 338 | $18.7K | $55.45 | 1.85x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 182 | $15.6K | $85.86 | 1.75x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 171 | $13.5K | $78.86 | 1.90x |
| 99238 | Hospital discharge day management, 30 minutes or less | 124 | $7.4K | $59.80 | 1.67x |
| 93965 | Ultrasound study of veins of both arms or legs including assessment of functional maneuvers | 68 | $5.8K | $85.87 | 2.04x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 161 | $5.7K | $35.47 | 1.41x |
| 93923 | Ultrasound study of arteries of both arms and legs | 31 | $3.6K | $115.08 | 2.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 26 | $3.5K | $136.05 | 1.47x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 16 | $3.1K | $193.56 | 6.20x |
This provider submits charges 1.73 times higher than what Medicare actually pays.
A markup ratio of 1.73x means for every $100 Medicare pays, this provider initially charges $173. This is lower 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 Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ 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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