This provider's $7.6M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
Medicare payments to this provider grew 184% 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 | $491.45 | $121.68 | 4.04x | $369.77 | $332.5K | 3.6K | 2.8K |
| 2015 | $413.44 | $133.99 | 3.09x | $279.45 | $410.4K | 4.4K | 3.4K |
| 2016 | $553.52 | $149.23 | 3.71x | $404.29 | $527.3K | 5.0K | 4.1K |
| 2017 | $510.27 | $143.90 | 3.55x | $366.37 | $521.5K | 4.5K | 3.8K |
| 2018 | $454.67 | $152.41 | 2.98x | $302.26 | $706.5K | 6.4K | 5.0K |
| 2019 | $572.79 | $152.82 | 3.75x | $419.97 | $737.0K | 7.2K | 5.5K |
| 2020 | $690.49 | $156.87 | 4.40x | $533.62 | $938.4K | 7.2K | 5.7K |
| 2021 | $590.14 | $148.87 | 3.96x | $441.27 | $1.2M | 9.2K | 7.6K |
| 2022 | $652.32 | $149.38 | 4.37x | $502.94 | $1.2M | 10.5K | 8.3K |
| 2023 | $691.14 | $160.09 | 4.32x | $531.05 | $944.2K | 7.9K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.1K | $1.4M | $1.3K | 2.69x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.6K | $1.3M | $91.97 | 3.06x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.4K | $948.1K | $148.64 | 3.67x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.3K | $532.1K | $401.00 | 2.85x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.9K | $479.2K | $61.04 | 2.36x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.1K | $378.6K | $341.72 | 3.07x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $258.0K | $125.29 | 3.11x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 463 | $195.1K | $421.48 | 5.44x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $190.6K | $164.20 | 2.19x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 247 | $158.4K | $641.36 | 4.87x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.5K | $144.1K | $57.00 | 5.10x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 649 | $143.3K | $220.87 | 5.90x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.6K | $139.0K | $85.69 | 2.10x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 908 | $125.9K | $138.71 | 3.74x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.4K | $117.6K | $12.56 | 5.53x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.3K | $109.8K | $82.80 | 2.83x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 699 | $107.7K | $154.06 | 6.38x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 1.1K | $106.8K | $95.85 | 3.06x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.1K | $93.4K | $45.47 | 2.74x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 254 | $73.1K | $287.91 | 4.98x |
This provider submits charges 3.34 times higher than what Medicare actually pays.
A markup ratio of 3.34x means for every $100 Medicare pays, this provider initially charges $334. 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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