This provider's $4.9M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 111% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2017
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 | $236.14 | $65.23 | 3.62x | $170.91 | $279.4K | 3.0K | 2.2K |
| 2015 | $259.22 | $68.16 | 3.80x | $191.06 | $340.9K | 3.6K | 2.8K |
| 2016 | $264.98 | $67.20 | 3.94x | $197.78 | $323.0K | 3.9K | 2.8K |
| 2017 | $259.78 | $66.91 | 3.88x | $192.87 | $532.1K | 4.8K | 3.8K |
| 2018 | $159.49 | $43.98 | 3.63x | $115.51 | $493.0K | 4.7K | 3.8K |
| 2019 | $158.89 | $44.71 | 3.55x | $114.18 | $658.7K | 7.9K | 5.8K |
| 2020 | $225.12 | $58.68 | 3.84x | $166.44 | $422.0K | 6.3K | 4.6K |
| 2021 | $209.69 | $60.01 | 3.49x | $149.68 | $678.9K | 8.9K | 6.1K |
| 2022 | $213.27 | $60.02 | 3.55x | $153.25 | $598.4K | 5.4K | 4.3K |
| 2023 | $260.79 | $87.72 | 2.97x | $173.07 | $589.3K | 5.0K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.9K | $1.8M | $448.60 | 4.42x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.9K | $706.3K | $182.64 | 5.48x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.9K | $658.6K | $169.01 | 4.14x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.7K | $460.5K | $99.01 | 3.00x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 3.6K | $383.1K | $105.77 | 1.89x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 619 | $103.7K | $167.54 | 3.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.5K | $91.7K | $62.08 | 3.20x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.8K | $81.6K | $45.62 | 1.74x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.9K | $79.8K | $13.43 | 5.59x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 454 | $66.8K | $147.10 | 1.41x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 311 | $55.5K | $178.44 | 2.93x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 1.2K | $48.6K | $40.91 | 3.06x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 603 | $44.8K | $74.21 | 4.51x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 257 | $37.1K | $144.22 | 2.76x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 590 | $34.3K | $58.11 | 6.19x |
| 82652 | Dihydroxyvitamin D, 1, 25 level | 687 | $27.1K | $39.47 | 2.53x |
| 90662 | Vaccine for influenza for injection into muscle | 372 | $22.1K | $59.36 | 1.79x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 1.1K | $21.3K | $18.74 | 4.79x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 444 | $17.2K | $38.70 | 3.43x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 20 | $16.2K | $810.73 | 1.36x |
This provider submits charges 4.02 times higher than what Medicare actually pays.
A markup ratio of 4.02x means for every $100 Medicare pays, this provider initially charges $402. 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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