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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Raj Makkar
❤️
MDIndividual

Raj Makkar, M.D.

NPI: 1164450235
West Hollywood, CA
10 years of data
Interventional Cardiology
$6.2M
Total Payments
13.5K
Beneficiaries
14.0K
Services
6.34x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$6.2M
Specialty median$201.5K

📋 Key Findings

1Billed $6.2M over 10 years
26.34x markup ratio (above median)
398th percentile in Interventional Cardiology by payments
419 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $6.2M in total Medicare payments ranks in the 98th percentile of Interventional Cardiology providers nationally.

Their average markup ratio of 6.34x is significantly above the specialty median of 4.0x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.7K$322.025.19x$1.4K$452.0K1.3K1.3K
2015$1.8K$359.225.13x$1.5K$523.7K1.4K1.3K
2016$1.8K$430.444.27x$1.4K$664.3K1.5K1.4K
2017$1.7K$353.944.84x$1.4K$698.9K1.5K1.5K
2018$1.9K$373.144.96x$1.5K$621.7K1.3K1.3K
2019$2.0K$393.365.13x$1.6K$736.7K1.4K1.3K
2020$1.7K$376.264.59x$1.4K$592.8K1.2K1.1K
2021$2.1K$430.114.86x$1.7K$664.3K1.5K1.4K
2022$2.0K$371.955.50x$1.7K$587.3K1.5K1.4K
2023$2.7K$454.535.92x$2.2K$623.1K1.5K1.5K

Top Procedures (20)

33361Replacement of aortic valve with prosthetic valve, accessed through the skin⚠ 8.3x markup
$2.8M
4.1K services$685.52/svc8.34x markup
33418Replacement of aortic valve with prosthetic valve accessed through the skin⚠ 4.5x markup
$1.1M
753 services$1.4K/svc4.54x markup
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin⚠ 4.5x markup
$760.5K
1.8K services$430.41/svc4.52x markup
93454Insertion of catheter for imaging of heart blood vessels or grafts⚠ 5.5x markup
$496.9K
3.4K services$147.44/svc5.52x markup
33340Repair of left upper heart⚠ 3.9x markup
$134.8K
202 services$667.24/svc3.94x markup
33419Replacement of aortic valve with prosthetic valve accessed through the skin⚠ 4.1x markup
$119.6K
336 services$356.07/svc4.12x markup
92933Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin⚠ 4.0x markup
$113.8K
209 services$544.34/svc4.00x markup
93455Insertion of catheter for imaging of heart blood vessels or grafts⚠ 5.2x markup
$93.2K
509 services$183.05/svc5.15x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 6.3x markup
$77.5K
473 services$163.94/svc6.26x markup
92920Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin)⚠ 4.7x markup
$77.2K
206 services$374.62/svc4.70x markup
92986Catheter based repair of left lower heart (aortic) valve, accessed through the skin⚠ 3.8x markup
$59.6K
53 services$1.1K/svc3.81x markup
92943Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin⚠ 3.9x markup
$48.8K
87 services$560.83/svc3.92x markup
92937Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin⚠ 4.3x markup
$40.8K
91 services$448.51/svc4.32x markup
93571Ultrasound evaluation of heart blood vessel during diagnosis or treatment⚠ 4.0x markup
$37.7K
515 services$73.18/svc4.00x markup
92978Ultrasound evaluation of heart blood vessel or graft⚠ 3.9x markup
$35.5K
443 services$80.18/svc3.93x markup
0483TInsertion of artificial valve between left heart chambers, accessed through the skin⚠ 8.6x markup
$32.4K
44 services$736.01/svc8.56x markup
92941Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin⚠ 3.8x markup
$29.7K
55 services$540.76/svc3.83x markup
0281TRadiological supervision and interpretation of catheter-delivered implant (accessed through the skin) to left upper heart chamber for appendage closure
$22.7K
14 services$1.6K/svc1.88x markup
0569TRepair of valve between upper right and lower right chambers of heart (tricuspid valve) using prosthesis delivered via catheter, accessed through skin; initial prosthesis⚠ 5.9x markup
$18.6K
18 services$1.0K/svc5.86x markup
0646TImplantation of artificial valve between right upper and lower chambers of heart through catheter⚠ 6.2x markup
$17.0K
17 services$1.0K/svc6.20x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
33361Replacement of aortic valve with prosthetic valve, accessed through the skin4.1K$2.8M$685.528.34x
33418Replacement of aortic valve with prosthetic valve accessed through the skin753$1.1M$1.4K4.54x
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin1.8K$760.5K$430.414.52x
93454Insertion of catheter for imaging of heart blood vessels or grafts3.4K$496.9K$147.445.52x
33340Repair of left upper heart202$134.8K$667.243.94x
33419Replacement of aortic valve with prosthetic valve accessed through the skin336$119.6K$356.074.12x
92933Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin209$113.8K$544.344.00x
93455Insertion of catheter for imaging of heart blood vessels or grafts509$93.2K$183.055.15x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart473$77.5K$163.946.26x
92920Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin)206$77.2K$374.624.70x
92986Catheter based repair of left lower heart (aortic) valve, accessed through the skin53$59.6K$1.1K3.81x
92943Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin87$48.8K$560.833.92x
92937Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin91$40.8K$448.514.32x
93571Ultrasound evaluation of heart blood vessel during diagnosis or treatment515$37.7K$73.184.00x
92978Ultrasound evaluation of heart blood vessel or graft443$35.5K$80.183.93x
0483TInsertion of artificial valve between left heart chambers, accessed through the skin44$32.4K$736.018.56x
92941Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin55$29.7K$540.763.83x
0281TRadiological supervision and interpretation of catheter-delivered implant (accessed through the skin) to left upper heart chamber for appendage closure14$22.7K$1.6K1.88x
0569TRepair of valve between upper right and lower right chambers of heart (tricuspid valve) using prosthesis delivered via catheter, accessed through skin; initial prosthesis18$18.6K$1.0K5.86x
0646TImplantation of artificial valve between right upper and lower chambers of heart through catheter17$17.0K$1.0K6.20x

Markup Analysis

Charge-to-Payment Ratio

6.34x

This provider submits charges 6.34 times higher than what Medicare actually pays.

What This Means

A markup ratio of 6.34x means for every $100 Medicare pays, this provider initially charges $634. This is higher than the national average.

Location

West Hollywood, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Interventional Cardiology providers in CA for peer comparison.

Raj Makkar (you)
$6.2M
Moinakhtar Lala, M.D.
$43.9M
Mohamed Khan, M.D.
$42.2M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Moinakhtar Lala, M.D.Reseda, CA$43.9M✓ Clear
Mohamed Khan, M.D.Redding, CA$42.2M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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