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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Vikram Lakireddy
❤️
MDIndividual

Vikram Lakireddy, M.D.

NPI: 1235270836
Merced, CA
10 years of data
Cardiology
$30.9M
Total Payments
364
Beneficiaries
241.5K
Services
2.56x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$30.9M
Specialty median$193.1K

📋 Key Findings

1Billed $30.9M over 10 years
22.56x markup ratio (above median)
399th percentile in Cardiology by payments
497 services/day — unusually high
5Payments surged 93% in 2016
611 procedures with >3x markup

This provider averages 97 services per working day

Based on 241.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $30.9M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Averaging 97 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 379% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 93% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$296.47$127.022.33x$169.45$1.0M7.9K27
2015$290.83$124.102.34x$166.73$1.1M8.6K29
2016$327.81$148.602.21x$179.21$2.0M13.8K32
2017$327.41$190.231.72x$137.18$3.2M16.9K33
2018$326.47$169.751.92x$156.72$2.6M15.5K37
2019$417.64$214.721.95x$202.92$3.9M17.9K41
2020$619.27$176.723.50x$442.55$3.8M21.4K41
2021$265.72$85.493.11x$180.23$4.3M50.3K42
2022$216.19$76.182.84x$140.01$4.3M55.9K42
2023$389.67$143.512.72x$246.16$4.8M33.5K40

Top Procedures (20)

78492Nuclear medicine studies of blood flow in heart muscle at rest and with stress
$8.4M
7.4K services$1.1K/svc1.85x markup
33285Insertion of heart rhythm monitor under skin
$5.9M
1.4K services$4.1K/svc1.96x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$4.8M
13.0K services$368.18/svc2.25x markup
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function⚠ 4.3x markup
$1.7M
10.5K services$159.68/svc4.28x markup
78452Nuclear medicine studies of heart muscle at rest and with stress and spect
$1.3M
4.4K services$305.80/svc1.80x markup
J2785Injection, regadenoson, 0.1 mg
$1.2M
26.1K services$44.46/svc2.25x markup
93229Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
$1.1M
1.9K services$610.02/svc2.84x markup
99214Established patient office or other outpatient visit, 30-39 minutes⚠ 3.1x markup
$1.1M
12.0K services$88.98/svc3.08x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose⚠ 3.1x markup
$709.3K
5.8K services$122.82/svc3.09x markup
99213Established patient office or other outpatient visit, 20-29 minutes
$631.9K
10.4K services$60.94/svc2.96x markup
99215Established patient office or other outpatient visit, 40-54 minutes⚠ 3.2x markup
$602.4K
4.9K services$123.06/svc3.19x markup
93015Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician⚠ 5.0x markup
$466.3K
7.6K services$61.44/svc4.97x markup
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec
$398.4K
15.1K services$26.37/svc2.49x markup
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days⚠ 7.0x markup
$382.8K
18.8K services$20.32/svc6.97x markup
99204New patient office or other outpatient visit, 45-59 minutes⚠ 3.7x markup
$270.2K
2.2K services$124.41/svc3.72x markup
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
$265.8K
1.6K services$164.41/svc2.84x markup
93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist⚠ 7.4x markup
$246.2K
1.1K services$214.45/svc7.38x markup
33208Insertion of pacemaker and upper and lower heart chamber electrode⚠ 3.3x markup
$197.0K
468 services$420.95/svc3.28x markup
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin⚠ 3.1x markup
$188.6K
383 services$492.35/svc3.12x markup
96374Injection of drug or substance into vein⚠ 6.0x markup
$170.4K
5.0K services$34.00/svc5.97x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78492Nuclear medicine studies of blood flow in heart muscle at rest and with stress7.4K$8.4M$1.1K1.85x
33285Insertion of heart rhythm monitor under skin1.4K$5.9M$4.1K1.96x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries13.0K$4.8M$368.182.25x
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function10.5K$1.7M$159.684.28x
78452Nuclear medicine studies of heart muscle at rest and with stress and spect4.4K$1.3M$305.801.80x
J2785Injection, regadenoson, 0.1 mg26.1K$1.2M$44.462.25x
93229Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional1.9K$1.1M$610.022.84x
99214Established patient office or other outpatient visit, 30-39 minutes12.0K$1.1M$88.983.08x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose5.8K$709.3K$122.823.09x
99213Established patient office or other outpatient visit, 20-29 minutes10.4K$631.9K$60.942.96x
99215Established patient office or other outpatient visit, 40-54 minutes4.9K$602.4K$123.063.19x
93015Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician7.6K$466.3K$61.444.97x
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec15.1K$398.4K$26.372.49x
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days18.8K$382.8K$20.326.97x
99204New patient office or other outpatient visit, 45-59 minutes2.2K$270.2K$124.413.72x
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1.6K$265.8K$164.412.84x
93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist1.1K$246.2K$214.457.38x
33208Insertion of pacemaker and upper and lower heart chamber electrode468$197.0K$420.953.28x
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin383$188.6K$492.353.12x
96374Injection of drug or substance into vein5.0K$170.4K$34.005.97x

Markup Analysis

Charge-to-Payment Ratio

2.56x

This provider submits charges 2.56 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.56x means for every $100 Medicare pays, this provider initially charges $256. This is higher than the national average.

Location

Merced, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Cardiology providers in CA for peer comparison.

Vikram Lakireddy (you)
$30.9M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, 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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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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