This provider averages 186 services per working day
Based on 465.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $26.0M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Averaging 186 services per working day raises questions about billing patterns.
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 | $342.10 | $99.98 | 3.42x | $242.12 | $3.0M | 61.3K | 42.9K |
| 2015 | $316.81 | $91.66 | 3.46x | $225.15 | $2.8M | 57.1K | 39.8K |
| 2016 | $353.59 | $99.49 | 3.55x | $254.10 | $3.1M | 60.3K | 40.4K |
| 2017 | $365.93 | $105.55 | 3.47x | $260.38 | $3.4M | 61.1K | 41.9K |
| 2018 | $371.79 | $98.88 | 3.76x | $272.91 | $3.1M | 51.2K | 34.1K |
| 2019 | $339.21 | $97.88 | 3.47x | $241.33 | $2.6M | 44.5K | 29.0K |
| 2020 | $992.52 | $152.39 | 6.51x | $840.13 | $2.2M | 33.6K | 21.9K |
| 2021 | $655.29 | $147.51 | 4.44x | $507.78 | $2.2M | 35.9K | 24.3K |
| 2022 | $638.15 | $212.60 | 3.00x | $425.55 | $2.0M | 32.4K | 22.2K |
| 2023 | $550.44 | $142.18 | 3.87x | $408.26 | $1.7M | 27.9K | 19.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 38.4K | $2.8M | $73.83 | 1.96x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 8.1K | $2.6M | $320.27 | 2.03x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 39.4K | $2.1M | $52.89 | 2.04x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 18.6K | $2.0M | $108.09 | 3.42x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 26.6K | $1.5M | $55.19 | 1.94x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 4.1K | $1.0M | $245.43 | 4.71x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 7.7K | $985.9K | $128.52 | 2.99x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 966 | $974.6K | $1.0K | 2.57x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 659 | $689.0K | $1.0K | 2.52x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 6.8K | $638.2K | $94.39 | 2.39x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.3K | $583.3K | $254.05 | 8.44x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 7.0K | $566.6K | $80.65 | 1.86x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 10.7K | $347.8K | $32.63 | 2.00x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.9K | $338.4K | $181.28 | 2.74x |
| 71250 | CT scan chest | 4.7K | $325.1K | $68.47 | 4.38x |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | 7.0K | $317.0K | $45.48 | 3.15x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 734 | $298.0K | $406.06 | 2.79x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 1.2K | $287.5K | $239.57 | 3.94x |
| G0166 | External counterpulsation, per treatment session | 2.6K | $262.0K | $98.96 | 3.65x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.1K | $244.7K | $48.29 | 5.07x |
This provider submits charges 3.13 times higher than what Medicare actually pays.
A markup ratio of 3.13x means for every $100 Medicare pays, this provider initially charges $313. 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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