This provider averages 65 services per working day
Based on 163.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 65 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 76% 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 | $381.25 | $142.27 | 2.68x | $238.98 | $907.1K | 9.4K | 6.3K |
| 2015 | $403.61 | $150.51 | 2.68x | $253.10 | $1.2M | 11.7K | 7.8K |
| 2016 | $411.71 | $150.57 | 2.73x | $261.14 | $1.2M | 11.6K | 7.9K |
| 2017 | $383.69 | $140.84 | 2.72x | $242.85 | $1.2M | 12.6K | 8.3K |
| 2018 | $346.00 | $127.20 | 2.72x | $218.80 | $1.3M | 14.7K | 9.3K |
| 2019 | $490.68 | $187.21 | 2.62x | $303.47 | $1.5M | 16.9K | 10.1K |
| 2020 | $540.29 | $210.04 | 2.57x | $330.25 | $1.5M | 18.1K | 10.3K |
| 2021 | $469.51 | $179.91 | 2.61x | $289.60 | $1.3M | 15.8K | 10.0K |
| 2022 | $395.28 | $149.94 | 2.64x | $245.34 | $1.5M | 24.1K | 13.4K |
| 2023 | $339.58 | $121.02 | 2.81x | $218.56 | $1.6M | 28.5K | 11.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 7.0K | $2.6M | $366.88 | 2.60x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 27.8K | $2.3M | $82.43 | 2.74x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.4K | $1.3M | $141.03 | 2.75x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 5.8K | $530.2K | $91.33 | 2.96x |
| 33285 | Insertion of heart rhythm monitor under skin | 112 | $442.0K | $3.9K | 2.52x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 377 | $361.8K | $959.73 | 2.59x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 7.1K | $354.7K | $49.97 | 2.92x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 8.2K | $324.4K | $39.52 | 2.61x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.7K | $319.2K | $116.97 | 2.81x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 362 | $316.6K | $874.64 | 2.58x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.4K | $252.2K | $184.74 | 2.70x |
| J2785 | Injection, regadenoson, 0.1 mg | 5.0K | $221.2K | $44.29 | 2.91x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 5.5K | $212.8K | $38.68 | 2.74x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 5.3K | $197.3K | $37.09 | 2.62x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 287 | $191.0K | $665.39 | 2.55x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 3.1K | $188.1K | $60.20 | 2.90x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $182.0K | $139.45 | 2.83x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.3K | $157.0K | $47.02 | 2.66x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 552 | $151.2K | $273.84 | 2.60x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 375 | $149.4K | $398.46 | 2.65x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. 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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