This provider's $10.0M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 7501% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2791% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $176.40 | $98.74 | 1.79x | $77.66 | $58.5K | 592 | 3 |
| 2020 | $1.1K | $522.89 | 2.01x | $527.44 | $1.7M | 3.2K | 19 |
| 2021 | $841.91 | $424.79 | 1.98x | $417.12 | $2.2M | 5.2K | 22 |
| 2022 | $726.74 | $352.59 | 2.06x | $374.15 | $1.6M | 4.6K | 21 |
| 2023 | $1.5K | $657.96 | 2.30x | $855.30 | $4.4M | 6.8K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery of leg, initial vessel | 595 | $5.1M | $8.5K | 1.59x |
| 37225 | Removal of plaque in arteries of leg | 526 | $2.3M | $4.4K | 2.73x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 3.8K | $408.7K | $108.13 | 1.62x |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 399 | $339.8K | $851.52 | 2.39x |
| 36246 | Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch | 875 | $332.3K | $379.81 | 5.00x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.0K | $236.7K | $79.85 | 1.42x |
| 36245 | Insertion of tube into abdominal, pelvic, or leg artery, each first order branch | 395 | $224.2K | $567.67 | 2.64x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 1.3K | $178.8K | $140.82 | 2.66x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 928 | $135.5K | $145.98 | 2.40x |
| 37253 | Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 869 | $125.4K | $144.35 | 2.12x |
| 93925 | Ultrasound of leg arteries or artery grafts | 436 | $91.1K | $208.88 | 2.39x |
| 75710 | Review by radiologist of arm or leg artery image | 628 | $79.9K | $127.20 | 2.36x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 412 | $54.3K | $131.70 | 2.85x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 64 | $45.9K | $717.64 | 2.23x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 480 | $42.4K | $88.35 | 1.84x |
| 37221 | Insertion of stent in groin artery, initial vessel | 31 | $42.1K | $1.4K | 4.66x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 140 | $38.1K | $272.30 | 4.01x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 174 | $26.6K | $152.79 | 1.96x |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 2.2K | $25.8K | $11.58 | 4.32x |
| 93224 | Electrocardiogram (ecg) 2-day continuous with review and report by health care professional | 438 | $24.9K | $56.89 | 2.64x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. 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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