This provider's $10.0M 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 | $470.90 | $126.84 | 3.71x | $344.06 | $1.1M | 10.1K | 8.5K |
| 2015 | $475.63 | $127.11 | 3.74x | $348.52 | $1.1M | 9.9K | 8.1K |
| 2016 | $433.52 | $116.15 | 3.73x | $317.37 | $1.0M | 9.9K | 8.2K |
| 2017 | $437.07 | $117.53 | 3.72x | $319.54 | $1.0M | 10.3K | 8.3K |
| 2018 | $420.40 | $113.04 | 3.72x | $307.36 | $993.0K | 10.0K | 8.0K |
| 2019 | $406.09 | $109.65 | 3.70x | $296.44 | $1.0M | 10.4K | 8.3K |
| 2020 | $365.52 | $102.69 | 3.56x | $262.83 | $944.1K | 9.5K | 7.7K |
| 2021 | $387.97 | $104.27 | 3.72x | $283.70 | $875.4K | 9.3K | 7.3K |
| 2022 | $360.83 | $96.22 | 3.75x | $264.61 | $991.5K | 11.2K | 8.6K |
| 2023 | $384.29 | $97.94 | 3.92x | $286.35 | $893.3K | 10.7K | 8.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.7K | $2.7M | $398.55 | 2.45x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.1K | $2.2M | $88.58 | 3.10x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.0K | $2.1M | $163.37 | 4.12x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 6.7K | $627.1K | $94.16 | 2.66x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 6.9K | $340.2K | $49.62 | 5.88x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 16.9K | $212.6K | $12.61 | 4.52x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.6K | $204.4K | $44.11 | 1.71x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.2K | $192.2K | $159.79 | 3.29x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 328 | $146.0K | $445.03 | 3.26x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.8K | $138.2K | $48.93 | 3.37x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.6K | $137.8K | $84.41 | 2.96x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $136.4K | $125.41 | 2.99x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 665 | $123.5K | $185.73 | 4.31x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 675 | $107.5K | $159.29 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $105.1K | $58.40 | 3.24x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 199 | $82.4K | $413.83 | 6.51x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 569 | $38.8K | $68.23 | 5.70x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 187 | $37.9K | $202.41 | 3.46x |
| 93567 | Injection for X-ray imaging of aorta above heart valve | 930 | $37.0K | $39.82 | 3.01x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 1.3K | $29.7K | $22.35 | 4.03x |
This provider submits charges 3.3 times higher than what Medicare actually pays.
A markup ratio of 3.3x means for every $100 Medicare pays, this provider initially charges $330. 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 Interventional Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Moinakhtar Lala, M.D. | Reseda, CA | $43.9M | ✓ Clear |
| Mohamed Khan, M.D. | Redding, CA | $42.2M | ✓ 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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