This provider averages 102 services per working day
Based on 255.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.9M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 102 services per working day raises questions about billing patterns.
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 | $260.62 | $69.58 | 3.75x | $191.04 | $1.8M | 26.8K | 18.5K |
| 2015 | $257.38 | $66.81 | 3.85x | $190.57 | $1.7M | 27.4K | 18.3K |
| 2016 | $246.73 | $61.61 | 4.00x | $185.12 | $1.7M | 27.8K | 18.5K |
| 2017 | $227.65 | $59.48 | 3.83x | $168.17 | $1.6M | 28.7K | 18.5K |
| 2018 | $236.21 | $60.09 | 3.93x | $176.12 | $1.5M | 27.9K | 17.8K |
| 2019 | $254.45 | $63.06 | 4.04x | $191.39 | $1.6M | 27.5K | 18.2K |
| 2020 | $266.24 | $64.98 | 4.10x | $201.26 | $1.6M | 25.4K | 17.2K |
| 2021 | $263.56 | $64.95 | 4.06x | $198.61 | $1.5M | 22.3K | 15.2K |
| 2022 | $284.95 | $74.19 | 3.84x | $210.76 | $1.5M | 21.2K | 14.2K |
| 2023 | $270.76 | $69.58 | 3.89x | $201.18 | $1.4M | 20.7K | 13.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 7.9K | $2.6M | $333.52 | 2.86x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 35.4K | $2.6M | $73.57 | 3.40x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 14.6K | $1.5M | $105.44 | 3.18x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.9K | $1.4M | $139.22 | 3.12x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 8.4K | $1.0M | $125.00 | 4.42x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 8.4K | $707.0K | $84.18 | 3.64x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 3.8K | $568.2K | $149.63 | 5.11x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 4.0K | $561.1K | $140.34 | 7.08x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 43.7K | $475.3K | $10.87 | 3.87x |
| 93923 | Ultrasound study of arteries of both arms and legs | 5.4K | $439.8K | $81.18 | 4.08x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 8.4K | $397.3K | $47.12 | 3.91x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 6.6K | $358.6K | $54.72 | 3.91x |
| 71275 | CT scan of blood vessels in chest with contrast | 2.1K | $317.9K | $148.49 | 4.79x |
| 70496 | CT scan of blood vessel of head with contrast | 2.3K | $296.2K | $131.34 | 7.24x |
| J2785 | Injection, regadenoson, 0.1 mg | 6.5K | $283.7K | $43.39 | 4.68x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 2.0K | $257.5K | $130.37 | 3.36x |
| 70498 | CT scan of neck blood vessels with contrast | 2.0K | $256.5K | $130.74 | 7.57x |
| 90670 | Pneumococcal vaccine for injection into muscle | 860 | $154.7K | $179.88 | 1.21x |
| 78451 | Nuclear medicine study of vessels of heart using drugs or exercise single study | 511 | $126.5K | $247.58 | 2.67x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 7.4K | $102.0K | $13.84 | 2.72x |
This provider submits charges 3.75 times higher than what Medicare actually pays.
A markup ratio of 3.75x means for every $100 Medicare pays, this provider initially charges $375. 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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