This provider's $6.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 194% from 2014 to 2023.
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 | $425.39 | $92.20 | 4.61x | $333.19 | $318.6K | 3.7K | 2.6K |
| 2015 | $397.03 | $87.87 | 4.52x | $309.16 | $385.8K | 4.3K | 3.0K |
| 2016 | $412.27 | $87.15 | 4.73x | $325.12 | $380.8K | 4.7K | 3.3K |
| 2017 | $389.62 | $92.12 | 4.23x | $297.50 | $395.6K | 4.9K | 3.3K |
| 2018 | $438.88 | $101.15 | 4.34x | $337.73 | $413.8K | 5.2K | 3.5K |
| 2019 | $425.85 | $94.02 | 4.53x | $331.83 | $584.1K | 7.0K | 5.0K |
| 2020 | $408.21 | $94.05 | 4.34x | $314.16 | $869.2K | 9.7K | 7.5K |
| 2021 | $386.68 | $89.19 | 4.34x | $297.49 | $931.1K | 10.6K | 7.6K |
| 2022 | $355.43 | $77.67 | 4.58x | $277.76 | $908.6K | 11.1K | 7.8K |
| 2023 | $421.39 | $91.92 | 4.58x | $329.47 | $937.3K | 11.9K | 8.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.7K | $1.6M | $89.75 | 2.03x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.2K | $1.2M | $165.81 | 10.40x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.3K | $491.2K | $215.35 | 3.86x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 2.1K | $441.9K | $208.36 | 5.15x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 3.1K | $437.9K | $141.29 | 4.05x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.6K | $382.3K | $146.21 | 5.25x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.6K | $257.1K | $159.09 | 1.56x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 18.9K | $235.1K | $12.46 | 6.93x |
| 93922 | Ultrasound study of arteries of both arms and legs | 2.7K | $200.8K | $74.36 | 3.44x |
| 93923 | Ultrasound study of arteries of both arms and legs | 2.2K | $198.7K | $90.28 | 4.72x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.6K | $180.0K | $116.05 | 2.02x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $159.9K | $120.51 | 1.73x |
| 93356 | Heart muscle strain imaging | 3.9K | $132.2K | $33.71 | 2.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $57.5K | $54.19 | 2.40x |
| 93288 | Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection | 847 | $33.8K | $39.91 | 3.34x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 197 | $31.9K | $161.80 | 5.08x |
| 93289 | Evaluation of defibrillator including connection, recording and disconnection | 486 | $25.0K | $51.38 | 2.59x |
| 93248 | Heart rhythm review and interpretation of continous external ekg over 8-15 days | 573 | $11.9K | $20.81 | 8.41x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 142 | $11.2K | $79.20 | 2.04x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 179 | $8.3K | $46.50 | 8.03x |
This provider submits charges 4.79 times higher than what Medicare actually pays.
A markup ratio of 4.79x means for every $100 Medicare pays, this provider initially charges $479. 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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