This provider's $4.7M in total Medicare payments ranks in the 98th 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 | $434.70 | $140.94 | 3.08x | $293.76 | $355.0K | 4.2K | 3.6K |
| 2015 | $470.69 | $149.04 | 3.16x | $321.65 | $421.8K | 4.8K | 4.0K |
| 2016 | $582.76 | $179.18 | 3.25x | $403.58 | $430.4K | 5.8K | 4.6K |
| 2017 | $512.87 | $158.60 | 3.23x | $354.27 | $481.0K | 6.7K | 5.2K |
| 2018 | $503.10 | $162.17 | 3.10x | $340.93 | $480.9K | 6.8K | 5.8K |
| 2019 | $436.08 | $142.79 | 3.05x | $293.29 | $551.2K | 6.6K | 5.7K |
| 2020 | $411.47 | $131.02 | 3.14x | $280.45 | $444.0K | 5.6K | 4.9K |
| 2021 | $425.37 | $141.57 | 3.00x | $283.80 | $520.7K | 6.2K | 5.2K |
| 2022 | $419.83 | $140.90 | 2.98x | $278.93 | $554.1K | 6.8K | 5.7K |
| 2023 | $432.82 | $141.11 | 3.07x | $291.71 | $495.5K | 6.4K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 699 | $429.8K | $614.87 | 3.98x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.6K | $417.6K | $116.61 | 2.16x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 1.4K | $407.6K | $299.05 | 2.69x |
| 71275 | CT scan of blood vessels in chest with contrast | 2.4K | $401.0K | $169.19 | 3.61x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.5K | $381.9K | $152.23 | 2.03x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.1K | $336.3K | $157.16 | 2.63x |
| 33340 | Repair of left upper heart | 556 | $263.2K | $473.30 | 3.24x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 426 | $253.4K | $594.74 | 2.42x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.5K | $242.6K | $158.54 | 2.00x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 247 | $226.2K | $915.69 | 3.84x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.7K | $196.9K | $74.12 | 2.12x |
| 92986 | Catheter based repair of left lower heart (aortic) valve, accessed through the skin | 200 | $194.9K | $974.62 | 2.73x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 441 | $164.5K | $373.11 | 2.76x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 528 | $95.4K | $180.62 | 3.29x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.2K | $72.4K | $11.65 | 2.85x |
| 80053 | Blood test, comprehensive group of blood chemicals | 4.9K | $52.3K | $10.64 | 2.30x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 3.4K | $51.2K | $15.21 | 2.20x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 209 | $48.9K | $234.12 | 3.26x |
| 33366 | Replacement of aortic valve with prosthetic valve | 50 | $45.6K | $911.17 | 4.13x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 4.6K | $40.2K | $8.82 | 2.10x |
This provider submits charges 2.83 times higher than what Medicare actually pays.
A markup ratio of 2.83x means for every $100 Medicare pays, this provider initially charges $283. 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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