This provider averages 68 services per working day
Based on 170.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 68 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 52% 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 | $193.39 | $89.44 | 2.16x | $103.95 | $1.0M | 14.7K | 9.0K |
| 2015 | $179.62 | $84.67 | 2.12x | $94.95 | $1.2M | 15.7K | 9.5K |
| 2016 | $187.88 | $82.06 | 2.29x | $105.82 | $1.4M | 17.2K | 10.3K |
| 2017 | $186.96 | $80.71 | 2.32x | $106.25 | $1.3M | 17.4K | 10.5K |
| 2018 | $226.94 | $117.23 | 1.94x | $109.71 | $1.7M | 18.7K | 11.8K |
| 2019 | $212.20 | $119.64 | 1.77x | $92.56 | $1.7M | 19.8K | 12.2K |
| 2020 | $151.33 | $84.10 | 1.80x | $67.23 | $1.6M | 18.5K | 11.5K |
| 2021 | $156.37 | $87.88 | 1.78x | $68.49 | $1.7M | 18.5K | 11.6K |
| 2022 | $177.71 | $94.66 | 1.88x | $83.05 | $1.5M | 14.3K | 9.1K |
| 2023 | $188.00 | $95.03 | 1.98x | $92.97 | $1.5M | 16.1K | 9.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 51.0K | $4.3M | $83.79 | 1.67x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.1K | $1.5M | $116.18 | 2.19x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.4K | $1.4M | $330.57 | 1.64x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 745 | $1.1M | $1.5K | 1.62x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 7.8K | $975.9K | $125.69 | 2.53x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 671 | $792.9K | $1.2K | 1.74x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 4.2K | $650.0K | $156.63 | 1.76x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 9.8K | $567.9K | $58.17 | 1.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.1K | $365.9K | $117.92 | 1.78x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.9K | $363.4K | $92.07 | 1.63x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.6K | $214.4K | $135.33 | 1.76x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.1K | $203.4K | $49.96 | 3.00x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.3K | $164.8K | $124.95 | 1.55x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.0K | $163.5K | $82.74 | 1.57x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 3.7K | $158.0K | $43.19 | 1.41x |
| 93979 | Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan | 1.7K | $144.8K | $86.48 | 2.41x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.5K | $137.8K | $90.86 | 1.71x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 101 | $112.3K | $1.1K | 1.80x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 567 | $109.5K | $193.07 | 1.51x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.9K | $86.9K | $45.37 | 1.50x |
This provider submits charges 1.85 times higher than what Medicare actually pays.
A markup ratio of 1.85x means for every $100 Medicare pays, this provider initially charges $185. This is lower 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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