This provider's $6.8M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Their average markup ratio of 6.98x is significantly above the specialty median of 4.0x.
Medicare payments to this provider grew 109810% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2730% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $129.44 | $55.06 | 2.35x | $74.38 | $2.4K | 44 | 24 |
| 2016 | $362.42 | $121.81 | 2.98x | $240.61 | $45.4K | 497 | 465 |
| 2017 | $332.32 | $106.67 | 3.12x | $225.65 | $116.9K | 1.5K | 1.3K |
| 2018 | $301.21 | $95.26 | 3.16x | $205.95 | $175.6K | 2.7K | 2.0K |
| 2019 | $525.39 | $129.42 | 4.06x | $395.97 | $22.5K | 223 | 158 |
| 2020 | $5.2K | $737.87 | 7.06x | $4.5K | $636.8K | 2.1K | 1.4K |
| 2021 | $7.3K | $956.22 | 7.59x | $6.3K | $1.2M | 3.2K | 2.2K |
| 2022 | $5.7K | $749.19 | 7.60x | $4.9K | $1.9M | 4.7K | 3.1K |
| 2023 | $4.8K | $621.38 | 7.71x | $4.2K | $2.7M | 6.8K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 309 | $1.7M | $5.5K | 8.31x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 184 | $1.5M | $8.3K | 7.24x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 128 | $497.8K | $3.9K | 11.22x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 701 | $443.8K | $633.11 | 6.76x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 35 | $329.3K | $9.4K | 6.74x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.3K | $290.1K | $87.44 | 3.52x |
| 33285 | Insertion of heart rhythm monitor under skin | 82 | $275.8K | $3.4K | 6.33x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 314 | $177.8K | $566.12 | 3.52x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 799 | $131.8K | $164.96 | 3.55x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.3K | $123.5K | $92.14 | 3.86x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 670 | $80.6K | $120.27 | 6.35x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 29 | $74.9K | $2.6K | 6.43x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure, each additional vessel | 91 | $72.1K | $791.84 | 6.64x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 429 | $65.4K | $152.40 | 3.51x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 511 | $60.1K | $117.68 | 3.90x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 45 | $56.7K | $1.3K | 10.73x |
| 36012 | Insertion of catheter into vein | 87 | $56.2K | $646.36 | 5.42x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 85 | $53.1K | $624.95 | 6.75x |
| 93923 | Ultrasound study of arteries of both arms and legs | 677 | $50.2K | $74.22 | 4.35x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 364 | $42.0K | $115.42 | 3.86x |
This provider submits charges 6.98 times higher than what Medicare actually pays.
A markup ratio of 6.98x means for every $100 Medicare pays, this provider initially charges $698. 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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