This provider's $10.6M 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 | $239.27 | $107.80 | 2.22x | $131.47 | $1.1M | 12.8K | 7.8K |
| 2015 | $230.33 | $106.06 | 2.17x | $124.27 | $1.3M | 13.9K | 8.6K |
| 2016 | $235.59 | $104.48 | 2.25x | $131.11 | $1.3M | 13.5K | 8.7K |
| 2017 | $244.56 | $107.72 | 2.27x | $136.84 | $1.2M | 12.1K | 8.2K |
| 2018 | $235.73 | $103.74 | 2.27x | $131.99 | $1.1M | 11.1K | 7.7K |
| 2019 | $366.03 | $193.72 | 1.89x | $172.31 | $1.1M | 10.2K | 7.1K |
| 2020 | $352.21 | $184.64 | 1.91x | $167.57 | $1.1M | 10.1K | 6.6K |
| 2021 | $223.16 | $98.97 | 2.25x | $124.19 | $828.0K | 8.7K | 5.6K |
| 2022 | $417.58 | $209.21 | 2.00x | $208.37 | $742.6K | 7.0K | 5.0K |
| 2023 | $401.65 | $193.14 | 2.08x | $208.51 | $909.6K | 7.7K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.1K | $2.2M | $364.15 | 2.03x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.9K | $1.7M | $80.99 | 2.10x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.7K | $1.1M | $144.84 | 2.24x |
| 78481 | Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study | 6.0K | $813.1K | $134.65 | 2.05x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.0K | $704.8K | $116.97 | 2.21x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 6.1K | $563.3K | $92.28 | 2.41x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 4.0K | $555.5K | $138.91 | 2.07x |
| 33285 | Insertion of heart rhythm monitor under skin | 117 | $436.0K | $3.7K | 1.61x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 6.1K | $307.4K | $50.27 | 2.98x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.5K | $295.5K | $83.72 | 1.91x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.9K | $279.8K | $57.61 | 1.86x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.7K | $277.0K | $160.39 | 1.93x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.1K | $198.4K | $183.06 | 1.64x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 379 | $178.7K | $471.49 | 2.12x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 506 | $130.1K | $257.19 | 2.37x |
| 36252 | Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation | 743 | $129.4K | $174.12 | 3.44x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.7K | $129.2K | $12.09 | 2.48x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 568 | $86.2K | $151.68 | 2.04x |
| 93979 | Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan | 913 | $71.0K | $77.72 | 2.32x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 3.4K | $48.6K | $14.36 | 2.23x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. 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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