This provider averages 57 services per working day
Based on 141.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 57 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 348% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $183.85 | $54.73 | 3.36x | $129.12 | $379.6K | 6.9K | 4.5K |
| 2015 | $177.22 | $60.28 | 2.94x | $116.94 | $415.3K | 7.1K | 4.2K |
| 2016 | $246.94 | $83.08 | 2.97x | $163.86 | $663.3K | 10.2K | 4.9K |
| 2017 | $225.01 | $75.96 | 2.96x | $149.05 | $743.3K | 11.9K | 6.0K |
| 2018 | $233.13 | $87.21 | 2.67x | $145.92 | $819.4K | 13.2K | 6.1K |
| 2019 | $246.14 | $81.17 | 3.03x | $164.97 | $1.1M | 17.1K | 8.1K |
| 2020 | $236.46 | $80.70 | 2.93x | $155.76 | $1.3M | 17.7K | 7.1K |
| 2021 | $251.12 | $91.23 | 2.75x | $159.89 | $1.3M | 17.0K | 7.7K |
| 2022 | $243.94 | $80.96 | 3.01x | $162.98 | $1.6M | 18.6K | 9.0K |
| 2023 | $279.32 | $79.90 | 3.50x | $199.42 | $1.7M | 21.9K | 11.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 19.8K | $2.2M | $113.37 | 1.85x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 19.7K | $1.5M | $74.73 | 2.05x |
| 99487 | Complex chronic care management services 60 minutes clinical staff time | 17.4K | $1.4M | $81.14 | 2.50x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.1K | $888.5K | $125.71 | 3.99x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 26.4K | $876.7K | $33.22 | 2.18x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.8K | $852.7K | $303.47 | 3.07x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 562 | $322.1K | $573.08 | 2.00x |
| 99489 | Complex chronic care management services each additional 30 minutes clinical staff time | 6.8K | $280.1K | $41.10 | 2.35x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.9K | $274.1K | $144.80 | 2.05x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 877 | $151.0K | $172.23 | 1.65x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 850 | $138.3K | $162.71 | 3.29x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.6K | $123.4K | $47.33 | 9.30x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 864 | $115.2K | $133.32 | 3.53x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.4K | $115.0K | $47.85 | 3.70x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.1K | $109.0K | $10.85 | 4.26x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 878 | $70.2K | $79.92 | 2.88x |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 941 | $63.3K | $67.25 | 2.74x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 444 | $49.1K | $110.67 | 1.93x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 935 | $34.5K | $36.94 | 2.71x |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 785 | $34.1K | $43.45 | 2.73x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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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