This provider's $3.5M in total Medicare payments ranks in the 97th 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 | $163.00 | $50.49 | 3.23x | $112.51 | $320.7K | 9.4K | 6.5K |
| 2015 | $150.60 | $47.88 | 3.15x | $102.72 | $350.1K | 12.3K | 6.1K |
| 2016 | $151.60 | $47.25 | 3.21x | $104.35 | $361.8K | 12.2K | 6.3K |
| 2017 | $161.79 | $48.43 | 3.34x | $113.36 | $363.2K | 12.0K | 6.2K |
| 2018 | $155.54 | $46.72 | 3.33x | $108.82 | $404.6K | 16.9K | 6.5K |
| 2019 | $167.24 | $43.30 | 3.86x | $123.94 | $399.1K | 15.5K | 6.7K |
| 2020 | $331.77 | $44.44 | 7.47x | $287.33 | $318.0K | 12.9K | 5.6K |
| 2021 | $230.08 | $49.89 | 4.61x | $180.19 | $320.1K | 10.5K | 5.1K |
| 2022 | $222.47 | $47.26 | 4.71x | $175.21 | $332.6K | 11.7K | 6.0K |
| 2023 | $202.56 | $42.01 | 4.82x | $160.55 | $323.8K | 11.1K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.8K | $717.7K | $73.46 | 3.82x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 11.3K | $571.0K | $50.66 | 4.02x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.0K | $220.0K | $55.61 | 3.53x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.1K | $181.8K | $57.80 | 3.91x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $179.0K | $149.70 | 3.57x |
| 85610 | Blood test, clotting time | 37.0K | $176.9K | $4.78 | 4.66x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.0K | $163.2K | $81.01 | 3.66x |
| 93793 | Anti-clotting management for patient taking warfarin | 20.2K | $161.5K | $8.01 | 4.50x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 1.7K | $147.6K | $84.96 | 4.65x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 1.5K | $132.1K | $89.59 | 5.00x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 922 | $100.8K | $109.29 | 3.62x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $95.0K | $46.81 | 4.05x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 490 | $55.0K | $112.19 | 4.04x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.9K | $53.6K | $28.04 | 5.56x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 3.2K | $51.8K | $16.37 | 3.72x |
| 93355 | Insertion of probe in esophagus for heart ultrasound examination during procedure on heart or great blood vessel via catheter | 294 | $50.4K | $171.26 | 4.16x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 3.9K | $42.9K | $10.94 | 3.82x |
| 92960 | External shock to heart to regulate heart beat | 475 | $40.6K | $85.44 | 3.72x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.5K | $38.3K | $11.08 | 4.33x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 296 | $30.9K | $104.39 | 4.03x |
This provider submits charges 4.1 times higher than what Medicare actually pays.
A markup ratio of 4.1x means for every $100 Medicare pays, this provider initially charges $410. 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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