This provider's $4.6M in total Medicare payments ranks in the 98th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 63423% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 5213% 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 | $97.25 | $64.14 | 1.52x | $33.11 | $4.1K | 62 | 49 |
| 2015 | $210.66 | $70.68 | 2.98x | $139.98 | $5.3K | 82 | 66 |
| 2016 | $260.16 | $75.48 | 3.45x | $184.68 | $2.5K | 37 | 27 |
| 2018 | $99.00 | $31.57 | 3.14x | $67.43 | $1.6K | 39 | 39 |
| 2019 | $270.52 | $84.23 | 3.21x | $186.29 | $34.3K | 484 | 385 |
| 2020 | $224.21 | $99.79 | 2.25x | $124.42 | $157.0K | 2.1K | 1.7K |
| 2021 | $236.91 | $96.11 | 2.46x | $140.80 | $33.9K | 413 | 358 |
| 2022 | $2.7K | $972.64 | 2.75x | $1.7K | $1.8M | 2.9K | 2.3K |
| 2023 | $2.6K | $865.73 | 3.02x | $1.8K | $2.6M | 3.9K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37227 | Removal of plaque and insertion of stents in arteries of leg | 146 | $1.2M | $8.3K | 2.61x |
| 37231 | Removal of plaque and insertion of stents in artery of leg, initial vessel | 79 | $724.7K | $9.2K | 2.19x |
| 37229 | Removal of plaque in artery of leg, initial vessel | 86 | $508.9K | $5.9K | 2.98x |
| 37238 | Insertion of stent in vein with review by radiologist, initial vein | 109 | $292.9K | $2.7K | 2.59x |
| 37225 | Removal of plaque in arteries of leg | 45 | $234.9K | $5.2K | 3.23x |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 289 | $213.6K | $739.09 | 3.49x |
| 36247 | Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 141 | $98.8K | $701.03 | 4.53x |
| 36226 | Insertion of tube into brain artery for diagnosis or treatment with review by radiologist | 56 | $97.1K | $1.7K | 1.44x |
| 36245 | Insertion of tube into abdominal, pelvic, or leg artery, each first order branch | 143 | $89.2K | $624.03 | 5.17x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.5K | $86.7K | $58.55 | 2.47x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 33 | $65.9K | $2.0K | 2.76x |
| 37236 | Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery | 33 | $65.5K | $2.0K | 4.03x |
| 37221 | Insertion of stent in groin artery, initial vessel | 39 | $65.4K | $1.7K | 4.19x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 641 | $60.2K | $93.86 | 1.97x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 162 | $58.6K | $361.81 | 3.76x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 756 | $53.9K | $71.23 | 2.03x |
| 37233 | Removal of plaque in artery of leg, each additional vessel | 65 | $53.6K | $823.87 | 2.64x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 345 | $49.7K | $143.95 | 2.85x |
| 37239 | Insertion of stent in vein with review by radiologist, each additional vein | 36 | $49.6K | $1.4K | 2.91x |
| 36252 | Insertion of tube into first order main and accessory arteries of both kidneys for imaging with review by radiologist | 76 | $48.9K | $643.24 | 4.37x |
This provider submits charges 2.87 times higher than what Medicare actually pays.
A markup ratio of 2.87x means for every $100 Medicare pays, this provider initially charges $287. 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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