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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Pareena Bilkoo
❤️
MDIndividual

Pareena Bilkoo, M.D.

NPI: 1285749705
Sarasota, FL
9 years of data
Cardiology
$5.6M
Total Payments
125
Beneficiaries
148.1K
Services
2.39x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$5.6M
Specialty median$193.1K

📋 Key Findings

1Billed $5.6M over 9 years
22.39x markup ratio (above median)
398th percentile in Cardiology by payments
466 services/day — unusually high
5Payments surged 1250% in 2018
62 procedures with >3x markup

This provider averages 66 services per working day

Based on 148.1K total services over 9 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $5.6M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.

Averaging 66 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 16313% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 1250% in 2018

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$918.75$228.154.03x$690.60$17.8K784
2015$656.14$134.014.90x$522.13$1.9K141
2016$1.6K$367.134.35x$1.2K$7.7K211
2018$247.63$95.962.58x$151.67$104.1K1.1K16
2019$271.43$102.182.66x$169.25$230.4K2.3K22
2020$234.95$90.882.59x$144.07$174.0K1.9K18
2021$118.67$46.972.53x$71.70$254.5K5.4K22
2022$96.20$35.312.72x$60.89$1.9M54.2K20
2023$73.55$35.112.09x$38.44$2.9M83.2K21

Top Procedures (20)

99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
$2.1M
69.2K services$29.91/svc2.31x markup
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
$1.5M
41.8K services$35.25/svc2.32x markup
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
$858.1K
22.4K services$38.28/svc2.23x markup
99215Established patient office or other outpatient visit, 40-54 minutes
$237.1K
1.9K services$122.60/svc2.80x markup
78452Nuclear medicine studies of heart muscle at rest and with stress and spect
$162.2K
476 services$340.70/svc2.64x markup
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
$149.6K
1.5K services$102.33/svc2.69x markup
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose
$146.7K
459 services$319.70/svc2.52x markup
99205New patient office or other outpatient visit, 60-74 minutes
$101.7K
639 services$159.08/svc2.77x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$48.5K
576 services$84.18/svc2.51x markup
92928Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch⚠ 3.3x markup
$47.7K
111 services$429.87/svc3.25x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose
$41.3K
442 services$93.38/svc2.53x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$37.9K
231 services$164.01/svc2.50x markup
93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist⚠ 3.3x markup
$37.3K
193 services$193.24/svc3.34x markup
99453Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
$33.7K
2.5K services$13.66/svc2.27x markup
99291Critical care delivery critically ill or injured patient, first 30-74 minutes
$23.1K
127 services$181.86/svc2.50x markup
99441Telephone medical discussion with physician, 5-10 minutes
$22.9K
540 services$42.45/svc1.94x markup
J2785Injection, regadenoson, 0.1 mg
$22.2K
481 services$46.08/svc2.53x markup
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
$21.8K
1.9K services$11.55/svc2.74x markup
92941Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin
$16.9K
32 services$528.24/svc2.92x markup
93880Ultrasound of both sides of head and neck blood flow
$14.4K
103 services$139.57/svc2.82x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes69.2K$2.1M$29.912.31x
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes41.8K$1.5M$35.252.32x
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days22.4K$858.1K$38.282.23x
99215Established patient office or other outpatient visit, 40-54 minutes1.9K$237.1K$122.602.80x
78452Nuclear medicine studies of heart muscle at rest and with stress and spect476$162.2K$340.702.64x
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function1.5K$149.6K$102.332.69x
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose459$146.7K$319.702.52x
99205New patient office or other outpatient visit, 60-74 minutes639$101.7K$159.082.77x
99233Subsequent hospital inpatient care, typically 35 minutes per day576$48.5K$84.182.51x
92928Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch111$47.7K$429.873.25x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose442$41.3K$93.382.53x
99223Initial hospital inpatient care, typically 70 minutes per day231$37.9K$164.012.50x
93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist193$37.3K$193.243.34x
99453Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment2.5K$33.7K$13.662.27x
99291Critical care delivery critically ill or injured patient, first 30-74 minutes127$23.1K$181.862.50x
99441Telephone medical discussion with physician, 5-10 minutes540$22.9K$42.451.94x
J2785Injection, regadenoson, 0.1 mg481$22.2K$46.082.53x
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1.9K$21.8K$11.552.74x
92941Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin32$16.9K$528.242.92x
93880Ultrasound of both sides of head and neck blood flow103$14.4K$139.572.82x

Markup Analysis

Charge-to-Payment Ratio

2.39x

This provider submits charges 2.39 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.39x means for every $100 Medicare pays, this provider initially charges $239. This is higher than the national average.

Location

Sarasota, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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