This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 1327% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 758% in 2015
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 | $134.35 | $91.20 | 1.47x | $43.15 | $60.3K | 891 | 445 |
| 2015 | $186.73 | $114.28 | 1.63x | $72.45 | $517.5K | 6.7K | 3.5K |
| 2016 | $172.67 | $114.45 | 1.51x | $58.22 | $908.5K | 9.9K | 5.4K |
| 2017 | $173.91 | $122.68 | 1.42x | $51.23 | $836.9K | 8.9K | 5.0K |
| 2018 | $170.44 | $119.16 | 1.43x | $51.28 | $930.3K | 10.3K | 5.9K |
| 2019 | $197.71 | $139.58 | 1.42x | $58.13 | $1.1M | 10.8K | 6.7K |
| 2020 | $162.94 | $119.52 | 1.36x | $43.42 | $960.6K | 9.1K | 5.8K |
| 2021 | $146.03 | $103.73 | 1.41x | $42.30 | $829.7K | 8.2K | 5.0K |
| 2022 | $159.56 | $111.67 | 1.43x | $47.89 | $882.4K | 8.5K | 5.4K |
| 2023 | $147.50 | $102.82 | 1.43x | $44.68 | $860.6K | 9.1K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 24.8K | $1.5M | $60.49 | 1.31x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.6K | $1.5M | $418.50 | 1.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.4K | $1.1M | $88.33 | 1.43x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.6K | $1.0M | $283.78 | 1.27x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.8K | $693.0K | $118.64 | 1.35x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.8K | $403.4K | $107.52 | 1.37x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.6K | $247.9K | $158.70 | 1.36x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.6K | $201.3K | $55.16 | 1.48x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.8K | $170.5K | $61.17 | 1.47x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.8K | $138.1K | $12.77 | 1.42x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 269 | $133.6K | $496.50 | 1.32x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 602 | $130.6K | $216.88 | 1.54x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 901 | $108.5K | $120.38 | 1.50x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.1K | $93.9K | $45.33 | 1.36x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 485 | $76.3K | $157.23 | 1.37x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 99 | $62.3K | $629.74 | 1.33x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 557 | $38.7K | $69.46 | 1.48x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 242 | $37.5K | $155.11 | 1.34x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 202 | $32.1K | $158.97 | 1.37x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 341 | $31.5K | $92.35 | 1.32x |
This provider submits charges 1.35 times higher than what Medicare actually pays.
A markup ratio of 1.35x means for every $100 Medicare pays, this provider initially charges $135. 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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