This provider's $7.6M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 823% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 171% in 2021
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 | $476.61 | $109.33 | 4.36x | $367.28 | $254.4K | 3.3K | 2.4K |
| 2015 | $496.35 | $111.03 | 4.47x | $385.32 | $204.2K | 2.8K | 2.1K |
| 2016 | $509.12 | $112.95 | 4.51x | $396.17 | $211.8K | 2.5K | 2.0K |
| 2017 | $711.16 | $155.95 | 4.56x | $555.21 | $271.0K | 1.8K | 1.5K |
| 2018 | $953.60 | $246.33 | 3.87x | $707.27 | $331.6K | 2.1K | 1.7K |
| 2019 | $758.02 | $191.59 | 3.96x | $566.43 | $539.4K | 3.0K | 2.5K |
| 2020 | $622.43 | $196.65 | 3.17x | $425.78 | $461.4K | 2.6K | 2.2K |
| 2021 | $689.90 | $226.28 | 3.05x | $463.62 | $1.2M | 3.4K | 3.0K |
| 2022 | $498.48 | $162.93 | 3.06x | $335.55 | $1.8M | 5.2K | 4.8K |
| 2023 | $563.77 | $167.50 | 3.37x | $396.27 | $2.3M | 6.5K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 1.8K | $3.6M | $1.9K | 3.12x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.0K | $1.2M | $612.16 | 1.36x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 227 | $363.5K | $1.6K | 3.66x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.9K | $325.1K | $112.30 | 4.97x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $259.0K | $86.52 | 3.02x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 202 | $236.0K | $1.2K | 4.31x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 600 | $218.8K | $364.74 | 4.81x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.6K | $203.3K | $56.62 | 2.86x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 137 | $142.5K | $1.0K | 3.77x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.6K | $141.0K | $54.30 | 3.92x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.2K | $101.2K | $45.36 | 5.15x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 440 | $69.9K | $158.90 | 2.82x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 844 | $68.7K | $81.40 | 2.84x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 321 | $65.0K | $202.42 | 6.53x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 537 | $56.8K | $105.68 | 3.13x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 82 | $52.4K | $639.58 | 2.98x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 341 | $48.6K | $142.48 | 3.58x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 384 | $47.3K | $123.22 | 2.99x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 569 | $46.1K | $81.04 | 4.90x |
| 75574 | Ct scan of blood vessels and grafts of heart with contrast | 196 | $44.3K | $225.97 | 4.17x |
This provider submits charges 3.15 times higher than what Medicare actually pays.
A markup ratio of 3.15x means for every $100 Medicare pays, this provider initially charges $315. 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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