This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
Medicare payments to this provider grew 86% 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 | $480.20 | $116.18 | 4.13x | $364.02 | $294.0K | 3.0K | 2.2K |
| 2015 | $521.89 | $105.81 | 4.93x | $416.08 | $342.3K | 4.1K | 3.0K |
| 2016 | $552.51 | $108.16 | 5.11x | $444.35 | $370.4K | 5.3K | 3.3K |
| 2017 | $542.43 | $97.45 | 5.57x | $444.98 | $391.8K | 6.0K | 3.4K |
| 2018 | $484.34 | $111.83 | 4.33x | $372.51 | $388.3K | 5.9K | 3.4K |
| 2019 | $400.51 | $94.92 | 4.22x | $305.59 | $407.5K | 6.3K | 3.5K |
| 2020 | $647.99 | $134.53 | 4.82x | $513.46 | $430.1K | 6.4K | 3.4K |
| 2021 | $453.54 | $100.84 | 4.50x | $352.70 | $459.3K | 6.8K | 3.9K |
| 2022 | $597.89 | $124.54 | 4.80x | $473.35 | $472.4K | 7.3K | 4.4K |
| 2023 | $653.88 | $134.58 | 4.86x | $519.30 | $547.5K | 7.6K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.5K | $605.0K | $133.72 | 2.61x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.7K | $548.8K | $96.62 | 2.74x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.7K | $497.7K | $106.44 | 3.69x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.7K | $261.1K | $95.20 | 3.12x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 663 | $157.4K | $237.38 | 3.25x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 6.8K | $152.1K | $22.47 | 3.36x |
| G2066 | Interrogation 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 | 4.1K | $152.0K | $37.18 | 3.52x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 818 | $143.3K | $175.15 | 2.85x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 720 | $140.4K | $195.00 | 3.08x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 763 | $136.7K | $179.17 | 2.66x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 272 | $121.7K | $447.53 | 6.62x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 579 | $109.2K | $188.53 | 8.65x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days | 3.6K | $93.6K | $25.81 | 4.82x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.2K | $73.3K | $62.16 | 3.02x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 2.7K | $73.0K | $27.25 | 4.41x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 401 | $70.0K | $174.47 | 3.52x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 469 | $66.3K | $141.41 | 2.84x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 131 | $58.9K | $449.34 | 5.27x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.9K | $55.4K | $14.38 | 6.70x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 1.1K | $49.2K | $44.97 | 4.68x |
This provider submits charges 3.79 times higher than what Medicare actually pays.
A markup ratio of 3.79x means for every $100 Medicare pays, this provider initially charges $379. 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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