This provider averages 57 services per working day
Based on 141.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Their average markup ratio of 6.62x is significantly above the specialty median of 3.6x.
Averaging 57 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 137% 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 | $858.96 | $132.52 | 6.48x | $726.44 | $766.9K | 9.1K | 4.3K |
| 2015 | $1.1K | $149.24 | 7.16x | $918.79 | $877.4K | 9.3K | 4.2K |
| 2016 | $978.26 | $149.48 | 6.54x | $828.78 | $968.9K | 10.5K | 4.3K |
| 2017 | $901.23 | $136.15 | 6.62x | $765.08 | $1.1M | 11.6K | 4.9K |
| 2018 | $946.70 | $127.42 | 7.43x | $819.28 | $1.3M | 13.4K | 5.5K |
| 2019 | $844.70 | $140.21 | 6.02x | $704.49 | $1.8M | 17.2K | 5.9K |
| 2020 | $703.68 | $137.55 | 5.12x | $566.13 | $2.1M | 18.4K | 5.2K |
| 2021 | $729.14 | $149.01 | 4.89x | $580.13 | $2.2M | 19.0K | 5.7K |
| 2022 | $690.23 | $141.24 | 4.89x | $548.99 | $1.7M | 16.1K | 5.1K |
| 2023 | $730.36 | $130.97 | 5.58x | $599.39 | $1.8M | 16.7K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 64.0K | $6.1M | $94.64 | 7.98x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 8.7K | $1.5M | $175.89 | 5.72x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.2K | $1.5M | $1.3K | 3.53x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 5.0K | $991.9K | $197.99 | 6.19x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.0K | $972.3K | $96.91 | 4.13x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.2K | $425.7K | $366.38 | 4.09x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.9K | $419.5K | $145.04 | 10.34x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.8K | $353.2K | $126.97 | 3.95x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.8K | $295.0K | $61.31 | 8.07x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.7K | $277.9K | $168.03 | 8.93x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.4K | $224.4K | $66.71 | 4.50x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.0K | $180.1K | $177.10 | 5.65x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 8.0K | $111.1K | $13.95 | 8.96x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.2K | $105.2K | $48.47 | 5.16x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.4K | $89.4K | $64.26 | 7.78x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 132 | $86.6K | $656.23 | 5.33x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 364 | $85.0K | $233.56 | 2.14x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 629 | $72.9K | $115.83 | 6.48x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 896 | $65.1K | $72.62 | 3.86x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 149 | $60.7K | $407.65 | 8.59x |
This provider submits charges 6.62 times higher than what Medicare actually pays.
A markup ratio of 6.62x means for every $100 Medicare pays, this provider initially charges $662. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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