This provider's $17.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 99% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 52% in 2018
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 | $503.71 | $115.30 | 4.37x | $388.41 | $581.7K | 6.0K | 4.2K |
| 2015 | $1.3K | $286.65 | 4.56x | $1.0K | $874.5K | 7.0K | 4.8K |
| 2016 | $1.7K | $478.59 | 3.61x | $1.3K | $1.1M | 7.4K | 4.8K |
| 2017 | $1.8K | $492.26 | 3.72x | $1.3K | $1.5M | 5.9K | 4.2K |
| 2018 | $2.2K | $760.20 | 2.89x | $1.4K | $2.3M | 5.9K | 4.2K |
| 2019 | $2.0K | $886.13 | 2.24x | $1.1K | $3.2M | 7.2K | 5.6K |
| 2020 | $2.2K | $918.99 | 2.41x | $1.3K | $3.7M | 7.6K | 6.0K |
| 2021 | $1.8K | $690.06 | 2.55x | $1.1K | $2.1M | 5.8K | 4.8K |
| 2022 | $3.2K | $979.50 | 3.27x | $2.2K | $1.3M | 2.6K | 1.9K |
| 2023 | $1.7K | $543.42 | 3.07x | $1.1K | $1.2M | 5.5K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 834 | $6.5M | $7.8K | 2.54x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 200 | $2.2M | $11.2K | 2.37x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.2K | $1.2M | $373.39 | 2.59x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 172 | $1.2M | $6.8K | 3.03x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.0K | $736.7K | $81.49 | 2.65x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.8K | $638.7K | $132.61 | 2.60x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 530 | $490.3K | $925.05 | 2.69x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 181 | $462.8K | $2.6K | 3.25x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.0K | $375.3K | $184.45 | 2.35x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.2K | $357.9K | $110.30 | 6.08x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 445 | $243.2K | $546.52 | 2.42x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 496 | $207.5K | $418.33 | 3.71x |
| 33285 | Insertion of heart rhythm monitor under skin | 63 | $207.4K | $3.3K | 1.93x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $195.7K | $146.48 | 2.63x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 249 | $194.2K | $779.80 | 2.70x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.1K | $192.5K | $172.51 | 6.02x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 185 | $186.4K | $1.0K | 2.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $183.8K | $57.40 | 2.60x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.4K | $173.0K | $50.28 | 2.92x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.7K | $118.4K | $44.03 | 1.68x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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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