This provider's $10.9M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $319.50 | $109.60 | 2.92x | $209.90 | $718.8K | 4.9K | 4.5K |
| 2015 | $301.64 | $120.85 | 2.50x | $180.79 | $766.1K | 5.3K | 4.9K |
| 2016 | $311.86 | $111.28 | 2.80x | $200.58 | $964.7K | 7.1K | 6.6K |
| 2017 | $324.50 | $119.07 | 2.73x | $205.43 | $1.3M | 8.8K | 8.0K |
| 2018 | $302.90 | $114.45 | 2.65x | $188.45 | $1.1M | 7.7K | 6.8K |
| 2019 | $330.14 | $121.45 | 2.72x | $208.69 | $1.5M | 10.3K | 9.0K |
| 2020 | $316.41 | $115.43 | 2.74x | $200.98 | $1.9M | 12.6K | 9.8K |
| 2021 | $310.90 | $130.00 | 2.39x | $180.90 | $1.1M | 7.9K | 7.0K |
| 2022 | $313.05 | $119.43 | 2.62x | $193.62 | $812.2K | 6.1K | 5.7K |
| 2023 | $297.04 | $116.20 | 2.56x | $180.84 | $622.5K | 5.4K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 10.9K | $2.1M | $188.44 | 4.13x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 6.8K | $1.5M | $214.32 | 1.42x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 5.4K | $1.3M | $249.21 | 1.34x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.1K | $874.3K | $172.48 | 3.94x |
| 93930 | Ultrasound study of arteries and arterial grafts of both arms | 4.9K | $833.5K | $169.58 | 1.52x |
| 93923 | Ultrasound study of arteries of both arms and legs | 5.7K | $697.7K | $123.47 | 1.37x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 2.6K | $469.8K | $181.16 | 1.35x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 1.8K | $377.7K | $207.10 | 1.65x |
| G0365 | Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) | 3.0K | $369.6K | $122.50 | 1.64x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 1.8K | $350.0K | $191.49 | 1.73x |
| 93892 | Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain) | 1.6K | $253.1K | $156.64 | 2.55x |
| 93985 | Ultrasound scan of blood flow in extremity on one side for preoperative assessment of blood vessel for dialysis access | 1.1K | $211.6K | $197.56 | 1.31x |
| 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 1.5K | $184.5K | $124.69 | 1.48x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.9K | $183.4K | $94.59 | 3.82x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.4K | $130.3K | $91.76 | 3.59x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.8K | $106.3K | $59.71 | 4.69x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 463 | $71.0K | $153.37 | 3.85x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 5.1K | $65.3K | $12.78 | 3.84x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 552 | $64.2K | $116.26 | 1.27x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 583 | $58.0K | $99.47 | 3.10x |
This provider submits charges 2.4 times higher than what Medicare actually pays.
A markup ratio of 2.4x means for every $100 Medicare pays, this provider initially charges $240. 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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