This provider's $4.4M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 61% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $371.39 | $103.56 | 3.59x | $267.83 | $438.8K | 7.1K | 4.8K |
| 2015 | $882.85 | $259.40 | 3.40x | $623.45 | $530.3K | 6.0K | 4.4K |
| 2016 | $995.92 | $315.28 | 3.16x | $680.64 | $526.6K | 4.9K | 3.5K |
| 2017 | $405.58 | $99.23 | 4.09x | $306.35 | $312.8K | 4.6K | 3.2K |
| 2018 | $441.35 | $108.76 | 4.06x | $332.59 | $294.9K | 4.8K | 3.2K |
| 2019 | $446.53 | $141.24 | 3.16x | $305.29 | $350.8K | 5.2K | 3.2K |
| 2020 | $389.86 | $91.79 | 4.25x | $298.07 | $281.2K | 5.0K | 2.9K |
| 2021 | $328.23 | $85.59 | 3.83x | $242.64 | $361.5K | 6.3K | 3.3K |
| 2022 | $278.40 | $95.07 | 2.93x | $183.33 | $609.0K | 13.7K | 4.6K |
| 2023 | $273.39 | $83.22 | 3.29x | $190.17 | $705.2K | 16.9K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.1K | $1.0M | $76.27 | 1.70x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.2K | $563.8K | $134.74 | 7.24x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 6.7K | $257.5K | $38.18 | 5.24x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 7.0K | $256.2K | $36.65 | 2.05x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 24 | $185.9K | $7.7K | 3.23x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 6.0K | $180.8K | $30.28 | 2.64x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.2K | $156.3K | $128.93 | 3.48x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.3K | $148.6K | $111.15 | 1.66x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.8K | $131.3K | $11.09 | 7.21x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 241 | $129.7K | $538.02 | 3.20x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $124.3K | $110.41 | 1.81x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.4K | $98.6K | $68.79 | 2.21x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 254 | $77.9K | $306.85 | 5.42x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 571 | $72.8K | $127.49 | 3.36x |
| 36245 | Insertion of catheter into abdominal pelvic or leg artery | 73 | $70.4K | $964.95 | 2.59x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 65 | $57.1K | $877.83 | 3.22x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 16 | $55.6K | $3.5K | 2.01x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 121 | $52.4K | $433.15 | 6.46x |
| 36147 | Insertion of needle and/or catheter for dialysis | 122 | $52.1K | $426.69 | 3.52x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 810 | $43.4K | $53.59 | 2.33x |
This provider submits charges 3.46 times higher than what Medicare actually pays.
A markup ratio of 3.46x means for every $100 Medicare pays, this provider initially charges $346. 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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