This provider averages 73 services per working day
Based on 181.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 73 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 57% 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 | $202.81 | $88.61 | 2.29x | $114.20 | $964.7K | 13.6K | 4.5K |
| 2015 | $242.30 | $108.48 | 2.23x | $133.82 | $943.8K | 13.1K | 4.9K |
| 2016 | $196.59 | $81.14 | 2.42x | $115.45 | $976.4K | 13.4K | 4.8K |
| 2017 | $193.46 | $83.92 | 2.31x | $109.54 | $968.6K | 13.5K | 4.9K |
| 2018 | $234.29 | $102.09 | 2.29x | $132.20 | $951.5K | 13.3K | 4.6K |
| 2019 | $271.28 | $109.27 | 2.48x | $162.01 | $1.2M | 15.5K | 6.5K |
| 2020 | $212.51 | $85.65 | 2.48x | $126.86 | $1.6M | 24.5K | 8.4K |
| 2021 | $328.05 | $180.02 | 1.82x | $148.03 | $2.0M | 28.5K | 9.9K |
| 2022 | $215.18 | $95.16 | 2.26x | $120.02 | $1.9M | 26.9K | 7.8K |
| 2023 | $224.48 | $97.38 | 2.31x | $127.10 | $1.5M | 19.5K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 26.1K | $2.6M | $99.80 | 1.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 39.2K | $2.3M | $59.91 | 2.10x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.9K | $1.7M | $193.76 | 2.77x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 15.5K | $684.0K | $44.12 | 3.40x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 2.9K | $657.5K | $225.18 | 2.77x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.7K | $635.2K | $134.21 | 1.68x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.4K | $434.4K | $182.36 | 2.19x |
| 99439 | Chronic care management services, each additional 20 minutes of clinical staff time per calendar month | 9.2K | $350.8K | $38.01 | 2.63x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 5.8K | $307.4K | $52.74 | 2.84x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 6.9K | $285.1K | $41.05 | 1.61x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.4K | $240.3K | $177.44 | 2.54x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 2.3K | $197.0K | $86.24 | 2.28x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.7K | $191.3K | $13.98 | 5.36x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 974 | $172.7K | $177.29 | 1.61x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 2.2K | $169.6K | $78.35 | 1.60x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 948 | $168.0K | $177.19 | 1.49x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 4.8K | $163.3K | $33.91 | 1.47x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $148.2K | $129.65 | 1.71x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.0K | $146.5K | $139.90 | 2.13x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 555 | $142.1K | $256.06 | 2.34x |
This provider submits charges 2.34 times higher than what Medicare actually pays.
A markup ratio of 2.34x means for every $100 Medicare pays, this provider initially charges $234. 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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