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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. Ricardo Cigarroa
❤️
MDIndividual

Ricardo Cigarroa, M.D.

NPI: 1295774594
Laredo, TX
10 years of data
Interventional Cardiology
$26.0M
Total Payments
315.6K
Beneficiaries
465.1K
Services
3.13x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$26.0M
Specialty median$201.5K

📋 Key Findings

1Billed $26.0M over 10 years
23.13x markup ratio (above median)
399th percentile in Interventional Cardiology by payments
4186 services/day — unusually high
58 procedures with >3x markup

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 →

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

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$342.10$99.983.42x$242.12$3.0M61.3K42.9K
2015$316.81$91.663.46x$225.15$2.8M57.1K39.8K
2016$353.59$99.493.55x$254.10$3.1M60.3K40.4K
2017$365.93$105.553.47x$260.38$3.4M61.1K41.9K
2018$371.79$98.883.76x$272.91$3.1M51.2K34.1K
2019$339.21$97.883.47x$241.33$2.6M44.5K29.0K
2020$992.52$152.396.51x$840.13$2.2M33.6K21.9K
2021$655.29$147.514.44x$507.78$2.2M35.9K24.3K
2022$638.15$212.603.00x$425.55$2.0M32.4K22.2K
2023$550.44$142.183.87x$408.26$1.7M27.9K19.1K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$2.8M
38.4K services$73.83/svc1.96x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$2.6M
8.1K services$320.27/svc2.03x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$2.1M
39.4K services$52.89/svc2.04x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.4x markup
$2.0M
18.6K services$108.09/svc3.42x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$1.5M
26.6K services$55.19/svc1.94x markup
75574CT scan of heart blood vessels and grafts with contrast dye⚠ 4.7x markup
$1.0M
4.1K services$245.43/svc4.71x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$985.9K
7.7K services$128.52/svc2.99x markup
78608Nuclear medicine study brain with metabolic evaluation
$974.6K
966 services$1.0K/svc2.57x markup
78815Nuclear medicine study with CT imaging skull base to mid-thigh
$689.0K
659 services$1.0K/svc2.52x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$638.2K
6.8K services$94.39/svc2.39x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 8.4x markup
$583.3K
2.3K services$254.05/svc8.44x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$566.6K
7.0K services$80.65/svc1.86x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$347.8K
10.7K services$32.63/svc2.00x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$338.4K
1.9K services$181.28/svc2.74x markup
71250CT scan chest⚠ 4.4x markup
$325.1K
4.7K services$68.47/svc4.38x markup
A9505Thallium tl-201 thallous chloride, diagnostic, per millicurie⚠ 3.1x markup
$317.0K
7.0K services$45.48/svc3.15x markup
92920Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin)
$298.0K
734 services$406.06/svc2.79x markup
75635CT scan of abdominal aorta and both leg arteries with contrast⚠ 3.9x markup
$287.5K
1.2K services$239.57/svc3.94x markup
G0166External counterpulsation, per treatment session⚠ 3.6x markup
$262.0K
2.6K services$98.96/svc3.65x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 5.1x markup
$244.7K
5.1K services$48.29/svc5.07x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes38.4K$2.8M$73.831.96x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies8.1K$2.6M$320.272.03x
99213Established patient office or other outpatient visit, typically 15 minutes39.4K$2.1M$52.892.04x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function18.6K$2.0M$108.093.42x
99232Subsequent hospital inpatient care, typically 25 minutes per day26.6K$1.5M$55.191.94x
75574CT scan of heart blood vessels and grafts with contrast dye4.1K$1.0M$245.434.71x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck7.7K$985.9K$128.522.99x
78608Nuclear medicine study brain with metabolic evaluation966$974.6K$1.0K2.57x
78815Nuclear medicine study with CT imaging skull base to mid-thigh659$689.0K$1.0K2.52x
99222Initial hospital inpatient care, typically 50 minutes per day6.8K$638.2K$94.392.39x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart2.3K$583.3K$254.058.44x
99233Subsequent hospital inpatient care, typically 35 minutes per day7.0K$566.6K$80.651.86x
99212Established patient office or other outpatient visit, typically 10 minutes10.7K$347.8K$32.632.00x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries1.9K$338.4K$181.282.74x
71250CT scan chest4.7K$325.1K$68.474.38x
A9505Thallium tl-201 thallous chloride, diagnostic, per millicurie7.0K$317.0K$45.483.15x
92920Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin)734$298.0K$406.062.79x
75635CT scan of abdominal aorta and both leg arteries with contrast1.2K$287.5K$239.573.94x
G0166External counterpulsation, per treatment session2.6K$262.0K$98.963.65x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report5.1K$244.7K$48.295.07x

Markup Analysis

Charge-to-Payment Ratio

3.13x

This provider submits charges 3.13 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.13x means for every $100 Medicare pays, this provider initially charges $313. This is higher than the national average.

Location

Laredo, TX

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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