This provider averages 62 services per working day
Based on 154.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
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 | $417.53 | $87.56 | 4.77x | $329.97 | $1.0M | 13.3K | 10.8K |
| 2015 | $524.31 | $110.43 | 4.75x | $413.88 | $1.1M | 14.3K | 11.4K |
| 2016 | $414.10 | $104.59 | 3.96x | $309.51 | $1.1M | 14.0K | 11.1K |
| 2017 | $390.97 | $98.53 | 3.97x | $292.44 | $1.2M | 15.3K | 12.6K |
| 2018 | $310.93 | $86.22 | 3.61x | $224.71 | $1.2M | 16.6K | 13.3K |
| 2019 | $443.12 | $103.36 | 4.29x | $339.76 | $1.3M | 16.7K | 13.7K |
| 2020 | $478.02 | $103.14 | 4.63x | $374.88 | $1.2M | 15.9K | 13.0K |
| 2021 | $342.96 | $91.23 | 3.76x | $251.73 | $1.3M | 16.8K | 12.8K |
| 2022 | $396.52 | $90.65 | 4.37x | $305.87 | $1.1M | 15.4K | 11.9K |
| 2023 | $326.01 | $79.60 | 4.10x | $246.41 | $1.1M | 16.0K | 12.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 8.5K | $2.7M | $313.15 | 4.03x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 17.6K | $1.8M | $103.88 | 6.90x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.7K | $1.1M | $77.27 | 2.22x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 20.4K | $1.0M | $51.19 | 2.26x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 8.5K | $737.6K | $87.13 | 1.94x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 1.1K | $463.2K | $439.88 | 5.52x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.0K | $408.7K | $203.95 | 4.36x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 8.3K | $397.9K | $47.91 | 5.16x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.3K | $348.9K | $151.02 | 2.35x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.2K | $333.6K | $80.06 | 1.95x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.9K | $189.7K | $102.04 | 4.03x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.3K | $183.8K | $141.95 | 2.86x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.3K | $180.1K | $55.00 | 2.40x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 2.0K | $131.2K | $66.13 | 3.71x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.6K | $90.5K | $57.32 | 5.04x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 416 | $88.8K | $213.53 | 4.31x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 8.0K | $83.9K | $10.52 | 10.07x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.6K | $77.8K | $21.57 | 3.71x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days | 4.8K | $77.7K | $16.33 | 5.82x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.0K | $69.0K | $66.63 | 2.90x |
This provider submits charges 4.1 times higher than what Medicare actually pays.
A markup ratio of 4.1x means for every $100 Medicare pays, this provider initially charges $410. 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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