This provider's $4.4M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 5129% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1152% in 2015
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 | $394.33 | $106.51 | 3.70x | $287.82 | $14.2K | 145 | 126 |
| 2015 | $430.47 | $96.65 | 4.45x | $333.82 | $177.8K | 1.9K | 1.3K |
| 2016 | $431.76 | $95.45 | 4.52x | $336.31 | $285.6K | 3.4K | 2.4K |
| 2017 | $336.47 | $75.43 | 4.46x | $261.04 | $376.0K | 5.9K | 3.9K |
| 2018 | $307.28 | $67.27 | 4.57x | $240.01 | $472.5K | 7.2K | 5.2K |
| 2019 | $299.18 | $64.17 | 4.66x | $235.01 | $517.8K | 8.4K | 6.1K |
| 2020 | $194.65 | $52.55 | 3.70x | $142.10 | $425.1K | 7.0K | 5.4K |
| 2021 | $212.38 | $52.08 | 4.08x | $160.30 | $704.6K | 10.0K | 7.6K |
| 2022 | $245.73 | $73.76 | 3.33x | $171.97 | $705.6K | 9.8K | 7.7K |
| 2023 | $260.49 | $73.57 | 3.54x | $186.92 | $742.4K | 10.4K | 8.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.6K | $1.3M | $134.79 | 5.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.3K | $532.9K | $84.66 | 3.27x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.5K | $516.7K | $113.73 | 2.90x |
| 94621 | Pulmonary exercise testing | 3.6K | $412.2K | $113.42 | 4.19x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 5.6K | $355.9K | $63.12 | 2.70x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.4K | $209.3K | $151.90 | 3.03x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.9K | $153.7K | $80.37 | 2.96x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 831 | $144.3K | $173.65 | 2.94x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 225 | $138.6K | $616.16 | 1.43x |
| 93050 | Analysis of pressure of upper limb artery with interpretation and report | 10.8K | $129.7K | $11.98 | 4.06x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 703 | $109.3K | $155.53 | 2.52x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 8.6K | $94.0K | $10.97 | 8.45x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 570 | $62.5K | $109.72 | 3.62x |
| 94375 | Diagnostic testing in a pulmonary function lab | 2.1K | $58.1K | $28.11 | 3.41x |
| 93451 | Insertion of catheter for diagnostic evaluation of right heart structures | 216 | $22.8K | $105.72 | 19.12x |
| 99292 | Critical care delivery critically ill or injured patient | 197 | $17.1K | $86.58 | 2.39x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker system or implantable defibrillator system with technician review, support and distribution of results, up to 90 days | 1.0K | $16.2K | $15.95 | 5.19x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 237 | $14.3K | $60.29 | 4.26x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 333 | $12.9K | $38.70 | 4.20x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 211 | $12.7K | $60.16 | 8.54x |
This provider submits charges 4.11 times higher than what Medicare actually pays.
A markup ratio of 4.11x means for every $100 Medicare pays, this provider initially charges $411. 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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