This provider's $9.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 119% from 2014 to 2023.
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 | $303.26 | $106.56 | 2.85x | $196.70 | $636.8K | 6.9K | 4.7K |
| 2015 | $289.00 | $102.73 | 2.81x | $186.27 | $829.1K | 8.9K | 6.1K |
| 2016 | $287.23 | $100.64 | 2.85x | $186.59 | $758.8K | 8.1K | 5.7K |
| 2017 | $288.24 | $99.53 | 2.90x | $188.71 | $843.8K | 9.2K | 6.5K |
| 2018 | $272.75 | $96.52 | 2.83x | $176.23 | $910.5K | 10.0K | 7.0K |
| 2019 | $258.58 | $90.05 | 2.87x | $168.53 | $888.1K | 10.7K | 7.0K |
| 2020 | $244.17 | $88.50 | 2.76x | $155.67 | $881.0K | 10.8K | 7.0K |
| 2021 | $268.81 | $95.08 | 2.83x | $173.73 | $804.4K | 9.5K | 6.6K |
| 2022 | $235.46 | $83.73 | 2.81x | $151.73 | $1.1M | 17.3K | 9.5K |
| 2023 | $263.55 | $91.58 | 2.88x | $171.97 | $1.4M | 26.7K | 8.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.9K | $1.8M | $83.31 | 2.71x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.7K | $1.4M | $368.02 | 2.60x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.9K | $958.0K | $138.20 | 2.78x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.9K | $572.5K | $117.88 | 2.66x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.5K | $350.9K | $142.25 | 2.80x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 8.2K | $340.2K | $41.37 | 2.60x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.1K | $286.5K | $91.77 | 2.94x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 617 | $258.4K | $418.84 | 2.91x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 5.9K | $227.1K | $38.45 | 2.75x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 3.7K | $226.5K | $61.13 | 2.90x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 5.7K | $212.7K | $37.09 | 2.62x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.1K | $205.0K | $50.13 | 2.91x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $205.0K | $117.79 | 2.80x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 984 | $181.6K | $184.57 | 3.33x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.1K | $172.9K | $157.20 | 2.57x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 4.9K | $150.2K | $30.46 | 2.61x |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 3.9K | $140.8K | $36.35 | 1.29x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.3K | $130.8K | $56.91 | 2.54x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.5K | $123.7K | $82.28 | 2.53x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 771 | $115.4K | $149.63 | 2.79x |
This provider submits charges 2.72 times higher than what Medicare actually pays.
A markup ratio of 2.72x means for every $100 Medicare pays, this provider initially charges $272. 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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