This provider's $5.5M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 115% 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 | $270.77 | $103.33 | 2.62x | $167.44 | $337.7K | 3.3K | 2.6K |
| 2015 | $257.92 | $100.76 | 2.56x | $157.16 | $427.8K | 4.2K | 3.3K |
| 2016 | $258.39 | $99.50 | 2.60x | $158.89 | $443.9K | 4.4K | 3.3K |
| 2017 | $272.95 | $105.62 | 2.58x | $167.33 | $527.6K | 5.1K | 3.9K |
| 2018 | $225.55 | $81.12 | 2.78x | $144.43 | $589.4K | 6.3K | 4.5K |
| 2019 | $225.38 | $81.95 | 2.75x | $143.43 | $624.4K | 6.7K | 4.7K |
| 2020 | $234.20 | $90.46 | 2.59x | $143.74 | $501.5K | 5.4K | 3.8K |
| 2021 | $221.98 | $87.76 | 2.53x | $134.22 | $660.5K | 6.2K | 4.5K |
| 2022 | $220.32 | $82.67 | 2.67x | $137.65 | $635.7K | 6.2K | 4.4K |
| 2023 | $205.36 | $76.04 | 2.70x | $129.32 | $727.6K | 7.5K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 18.7K | $2.2M | $118.92 | 2.57x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.1K | $878.1K | $414.41 | 2.55x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.5K | $854.7K | $154.28 | 2.41x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.6K | $405.4K | $158.73 | 2.72x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.1K | $202.4K | $95.66 | 3.35x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.1K | $131.0K | $62.09 | 2.54x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 566 | $90.2K | $159.32 | 2.57x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 2.1K | $82.3K | $38.91 | 2.48x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.5K | $71.6K | $13.13 | 2.69x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 852 | $70.2K | $82.41 | 2.73x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 416 | $65.7K | $158.01 | 2.64x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 276 | $58.5K | $212.06 | 2.38x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.2K | $53.0K | $44.82 | 2.38x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 737 | $48.9K | $66.39 | 2.96x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 178 | $30.1K | $169.08 | 2.65x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 127 | $30.0K | $236.08 | 2.60x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 337 | $28.9K | $85.70 | 2.56x |
| 93288 | Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection | 773 | $28.6K | $36.99 | 2.33x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 3.7K | $25.3K | $6.90 | 5.22x |
| 93793 | Anti-clotting management for patient taking warfarin | 2.3K | $20.7K | $9.10 | 2.69x |
This provider submits charges 2.6 times higher than what Medicare actually pays.
A markup ratio of 2.6x means for every $100 Medicare pays, this provider initially charges $260. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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