This provider's $11.7M 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 | $197.54 | $74.41 | 2.65x | $123.13 | $1.4M | 11.5K | 9.9K |
| 2015 | $190.06 | $74.75 | 2.54x | $115.31 | $1.4M | 11.6K | 9.6K |
| 2016 | $202.38 | $74.67 | 2.71x | $127.71 | $1.3M | 11.5K | 9.4K |
| 2017 | $210.79 | $80.45 | 2.62x | $130.34 | $1.2M | 11.9K | 10.2K |
| 2018 | $220.37 | $85.61 | 2.57x | $134.76 | $1.1M | 11.9K | 9.7K |
| 2019 | $212.72 | $84.38 | 2.52x | $128.34 | $1.1M | 11.3K | 9.5K |
| 2020 | $194.04 | $80.40 | 2.41x | $113.64 | $1.0M | 9.7K | 8.5K |
| 2021 | $205.64 | $83.40 | 2.47x | $122.24 | $1.0M | 9.8K | 8.6K |
| 2022 | $291.72 | $119.03 | 2.45x | $172.69 | $1.1M | 10.2K | 8.8K |
| 2023 | $262.54 | $101.07 | 2.60x | $161.47 | $1.1M | 10.9K | 9.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 12.0K | $4.3M | $355.80 | 2.75x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 14.1K | $2.2M | $152.61 | 3.64x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 10.4K | $935.4K | $89.76 | 2.87x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 6.1K | $919.2K | $149.54 | 1.89x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 7.9K | $792.5K | $100.67 | 1.69x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.4K | $697.6K | $56.39 | 1.67x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 12.0K | $618.0K | $51.59 | 2.81x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.0K | $329.5K | $81.35 | 1.54x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $171.2K | $78.68 | 1.76x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $135.4K | $116.84 | 1.63x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.6K | $127.6K | $81.69 | 2.45x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.5K | $123.8K | $10.72 | 3.73x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $114.1K | $76.97 | 2.21x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 104 | $65.7K | $632.08 | 1.66x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 980 | $42.2K | $43.06 | 2.32x |
| 93268 | Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days | 208 | $30.8K | $148.06 | 2.87x |
| G0389 | Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening | 243 | $25.8K | $106.29 | 1.40x |
| 99226 | Subsequent observation care, typically 35 minutes per day | 267 | $20.7K | $77.68 | 1.54x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 123 | $19.4K | $157.67 | 1.43x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 811 | $19.3K | $23.81 | 4.20x |
This provider submits charges 2.65 times higher than what Medicare actually pays.
A markup ratio of 2.65x means for every $100 Medicare pays, this provider initially charges $265. 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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