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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. Ramesh Kundur
❤️
MDIndividual

Ramesh Kundur, M.D.

NPI: 1306863063
Midlothian, VA
10 years of data
Advanced Heart Failure and Transplant Cardiology
$4.5M
Total Payments
50.4K
Beneficiaries
64.9K
Services
3.4x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.5M
Specialty median$83.5K

📋 Key Findings

1Billed $4.5M over 10 years
23.4x markup ratio (above median)
399th percentile in Advanced Heart Failure and Transplant Cardiology by payments
49 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Advanced Heart Failure and Transplant Cardiology providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

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$326.55$86.993.75x$239.56$364.3K4.0K3.3K
2015$325.84$86.103.78x$239.74$384.6K4.5K4.0K
2016$305.86$88.993.44x$216.87$459.8K7.2K5.8K
2017$282.32$87.293.23x$195.03$507.0K7.8K6.3K
2018$352.30$115.093.06x$237.21$474.9K7.6K5.8K
2019$343.74$115.932.97x$227.81$484.0K7.0K5.4K
2020$330.01$112.822.93x$217.19$491.8K6.6K5.1K
2021$311.13$106.462.92x$204.67$462.2K6.1K4.9K
2022$298.43$99.113.01x$199.32$422.1K6.3K4.7K
2023$395.56$136.322.90x$259.24$484.8K7.8K5.0K

Top Procedures (20)

78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 3.8x markup
$799.1K
2.5K services$320.14/svc3.76x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$588.5K
7.3K services$80.47/svc2.30x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 5.2x markup
$387.3K
3.4K services$112.56/svc5.22x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck⚠ 3.5x markup
$353.6K
2.4K services$148.43/svc3.47x markup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies
$349.4K
331 services$1.1K/svc2.48x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$327.2K
5.8K services$56.62/svc2.21x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$286.6K
1.9K services$151.71/svc2.37x markup
99490Chronic care management services at least 20 minutes per calendar month
$154.4K
4.2K services$36.99/svc2.30x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose⚠ 3.2x markup
$134.5K
2.1K services$64.64/svc3.21x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 5.6x markup
$130.1K
2.5K services$51.81/svc5.60x markup
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report⚠ 13.2x markup
$100.5K
15.8K services$6.35/svc13.17x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$79.9K
342 services$233.53/svc2.51x markup
J2785Injection, regadenoson, 0.1 mg
$77.3K
1.8K services$44.07/svc2.23x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$75.1K
941 services$79.82/svc2.23x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$74.6K
710 services$105.06/svc2.33x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers⚠ 3.3x markup
$70.4K
476 services$147.81/svc3.32x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$68.0K
369 services$184.33/svc2.52x markup
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days⚠ 3.3x markup
$48.0K
1.2K services$39.63/svc3.28x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 5.8x markup
$43.6K
3.9K services$11.23/svc5.79x markup
99203New patient office or other outpatient visit, typically 30 minutes
$43.4K
604 services$71.94/svc2.57x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2.5K$799.1K$320.143.76x
99214Established patient office or other outpatient, visit typically 25 minutes7.3K$588.5K$80.472.30x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function3.4K$387.3K$112.565.22x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck2.4K$353.6K$148.433.47x
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies331$349.4K$1.1K2.48x
99232Subsequent hospital inpatient care, typically 25 minutes per day5.8K$327.2K$56.622.21x
99223Initial hospital inpatient care, typically 70 minutes per day1.9K$286.6K$151.712.37x
99490Chronic care management services at least 20 minutes per calendar month4.2K$154.4K$36.992.30x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose2.1K$134.5K$64.643.21x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report2.5K$130.1K$51.815.60x
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report15.8K$100.5K$6.3513.17x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries342$79.9K$233.532.51x
J2785Injection, regadenoson, 0.1 mg1.8K$77.3K$44.072.23x
99233Subsequent hospital inpatient care, typically 35 minutes per day941$75.1K$79.822.23x
99222Initial hospital inpatient care, typically 50 minutes per day710$74.6K$105.062.33x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers476$70.4K$147.813.32x
93925Ultrasound study of arteries and arterial grafts of both legs369$68.0K$184.332.52x
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days1.2K$48.0K$39.633.28x
93000Routine EKG using at least 12 leads including interpretation and report3.9K$43.6K$11.235.79x
99203New patient office or other outpatient visit, typically 30 minutes604$43.4K$71.942.57x

Markup Analysis

Charge-to-Payment Ratio

3.4x

This provider submits charges 3.4 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.4x means for every $100 Medicare pays, this provider initially charges $340. This is higher than the national average.

Location

Midlothian, VA

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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