This provider's $5.3M in total Medicare payments ranks in the 98th percentile of Interventional Cardiology providers nationally.
Their average markup ratio of 6.23x is significantly above the specialty median of 4.0x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 72% in 2016
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 | $340.64 | $114.98 | 2.96x | $225.66 | $422.2K | 4.5K | 3.4K |
| 2015 | $356.87 | $117.97 | 3.03x | $238.90 | $447.3K | 4.7K | 3.5K |
| 2016 | $1.7K | $292.67 | 5.73x | $1.4K | $769.3K | 5.0K | 3.8K |
| 2017 | $1.6K | $248.54 | 6.35x | $1.3K | $686.6K | 5.1K | 4.0K |
| 2018 | $1.7K | $251.24 | 6.74x | $1.4K | $663.7K | 5.0K | 3.9K |
| 2019 | $1.3K | $218.83 | 5.89x | $1.1K | $526.6K | 4.3K | 3.4K |
| 2020 | $1.3K | $177.99 | 7.36x | $1.1K | $435.1K | 3.8K | 2.9K |
| 2021 | $1.4K | $210.42 | 6.84x | $1.2K | $452.1K | 3.8K | 2.9K |
| 2022 | $851.45 | $99.52 | 8.56x | $751.93 | $462.0K | 4.8K | 3.6K |
| 2023 | $1.1K | $97.80 | 11.69x | $1.0K | $432.0K | 4.7K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 19.5K | $1.6M | $79.57 | 2.58x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 2.3K | $1.0M | $449.42 | 12.86x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.5K | $616.9K | $242.78 | 8.19x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 1.0K | $501.4K | $478.40 | 8.68x |
| 36252 | Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation | 511 | $375.8K | $735.41 | 2.93x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $181.4K | $116.69 | 2.74x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.0K | $173.9K | $57.44 | 2.35x |
| 93461 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 254 | $131.6K | $518.27 | 5.95x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 2.2K | $129.3K | $58.98 | 5.93x |
| 36245 | Insertion of catheter into abdominal pelvic or leg artery | 135 | $113.9K | $843.95 | 3.65x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 373 | $91.3K | $244.89 | 8.56x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 812 | $87.6K | $107.83 | 2.32x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 133 | $57.9K | $435.69 | 2.96x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.5K | $40.2K | $11.43 | 3.94x |
| 93567 | Injection for X-ray imaging of aorta above heart valve | 593 | $38.0K | $64.06 | 2.62x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 1.7K | $35.4K | $20.92 | 4.78x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 229 | $27.5K | $120.00 | 2.46x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 541 | $22.2K | $41.07 | 4.75x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 318 | $13.2K | $41.56 | 3.48x |
| 0296T | External EKG recording for more than 48 hours up to 21 days | 402 | $9.2K | $22.88 | 4.10x |
This provider submits charges 6.23 times higher than what Medicare actually pays.
A markup ratio of 6.23x means for every $100 Medicare pays, this provider initially charges $623. 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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