This provider's $3.4M in total Medicare payments ranks in the 97th 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 | $166.53 | $83.64 | 1.99x | $82.89 | $450.3K | 6.5K | 2.4K |
| 2015 | $343.88 | $88.55 | 3.88x | $255.33 | $348.9K | 4.9K | 1.4K |
| 2016 | $343.89 | $91.66 | 3.75x | $252.23 | $253.1K | 3.4K | 1.4K |
| 2017 | $396.13 | $101.17 | 3.92x | $294.96 | $318.8K | 2.9K | 2.4K |
| 2018 | $504.16 | $190.07 | 2.65x | $314.09 | $375.5K | 2.8K | 2.3K |
| 2019 | $283.74 | $101.73 | 2.79x | $182.01 | $390.8K | 3.5K | 2.8K |
| 2020 | $249.99 | $104.22 | 2.40x | $145.77 | $263.7K | 2.4K | 1.8K |
| 2021 | $313.87 | $118.88 | 2.64x | $194.99 | $366.4K | 3.1K | 2.4K |
| 2022 | $285.43 | $115.27 | 2.48x | $170.16 | $379.2K | 3.0K | 2.5K |
| 2023 | $301.78 | $115.19 | 2.62x | $186.59 | $293.4K | 2.4K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.5K | $668.9K | $432.36 | 2.63x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.8K | $539.0K | $140.36 | 3.29x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.9K | $522.2K | $88.07 | 2.79x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.4K | $384.3K | $87.87 | 2.77x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.4K | $233.7K | $166.55 | 2.68x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.3K | $226.2K | $173.05 | 2.32x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.8K | $168.3K | $59.95 | 2.00x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 3.3K | $105.8K | $32.32 | 2.48x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.6K | $88.7K | $56.63 | 3.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 485 | $58.8K | $121.21 | 3.06x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 298 | $55.3K | $185.54 | 1.98x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 831 | $53.7K | $64.58 | 2.59x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 292 | $52.0K | $178.03 | 2.69x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 38 | $50.8K | $1.3K | 2.57x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 209 | $42.5K | $203.36 | 2.71x |
| J2785 | Injection, regadenoson, 0.1 mg | 749 | $33.3K | $44.40 | 3.17x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 203 | $23.1K | $113.81 | 1.77x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 208 | $19.1K | $91.71 | 2.34x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 1.2K | $15.8K | $13.30 | 3.64x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 38 | $15.0K | $394.61 | 1.50x |
This provider submits charges 2.76 times higher than what Medicare actually pays.
A markup ratio of 2.76x means for every $100 Medicare pays, this provider initially charges $276. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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