This provider's $15.0M in total Medicare payments ranks in the 99th percentile of Interventional 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 | $400.14 | $107.34 | 3.73x | $292.80 | $1.2M | 11.7K | 9.1K |
| 2015 | $394.94 | $113.04 | 3.49x | $281.90 | $1.2M | 11.8K | 9.4K |
| 2016 | $475.00 | $139.77 | 3.40x | $335.23 | $1.7M | 12.3K | 9.4K |
| 2017 | $457.48 | $129.95 | 3.52x | $327.53 | $1.9M | 13.4K | 10.2K |
| 2018 | $623.59 | $199.03 | 3.13x | $424.56 | $2.0M | 13.2K | 9.6K |
| 2019 | $656.19 | $206.65 | 3.18x | $449.54 | $1.8M | 13.1K | 9.9K |
| 2020 | $653.08 | $211.66 | 3.09x | $441.42 | $1.5M | 11.3K | 8.5K |
| 2021 | $650.48 | $216.52 | 3.00x | $433.96 | $1.4M | 10.8K | 8.2K |
| 2022 | $701.79 | $208.98 | 3.36x | $492.81 | $1.1M | 9.3K | 7.3K |
| 2023 | $601.99 | $168.15 | 3.58x | $433.84 | $1.1M | 9.5K | 7.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 8.9K | $3.3M | $375.29 | 3.06x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 27.2K | $2.2M | $80.41 | 1.87x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.5K | $1.7M | $1.2K | 3.02x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 10.6K | $1.5M | $139.59 | 6.57x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 7.5K | $958.7K | $128.22 | 4.09x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 529 | $842.4K | $1.6K | 2.51x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 9.3K | $820.3K | $88.39 | 2.26x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 542 | $652.0K | $1.2K | 2.91x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 3.6K | $532.5K | $149.03 | 3.35x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 9.5K | $477.6K | $50.04 | 6.99x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.1K | $357.3K | $114.00 | 1.87x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.0K | $271.2K | $54.47 | 2.30x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.0K | $187.3K | $94.10 | 4.25x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.1K | $172.8K | $42.43 | 2.33x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.1K | $117.2K | $57.00 | 2.63x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.4K | $111.8K | $81.74 | 2.20x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.1K | $106.8K | $11.79 | 6.36x |
| 78451 | Nuclear medicine study of vessels of heart using drugs or exercise single study | 391 | $105.3K | $269.33 | 3.16x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 656 | $99.3K | $151.36 | 1.81x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 487 | $83.2K | $170.78 | 2.93x |
This provider submits charges 3.35 times higher than what Medicare actually pays.
A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. 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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