This provider's $9.5M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 138% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 52% 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 | $481.03 | $168.38 | 2.86x | $312.65 | $475.9K | 4.6K | 3.3K |
| 2015 | $467.75 | $176.13 | 2.66x | $291.62 | $725.8K | 6.1K | 4.9K |
| 2016 | $467.06 | $176.60 | 2.64x | $290.46 | $927.4K | 7.2K | 6.2K |
| 2017 | $361.74 | $126.05 | 2.87x | $235.69 | $983.8K | 8.6K | 7.0K |
| 2018 | $363.91 | $129.58 | 2.81x | $234.33 | $971.1K | 9.4K | 7.4K |
| 2019 | $370.60 | $144.54 | 2.56x | $226.06 | $1.0M | 10.1K | 7.8K |
| 2020 | $364.19 | $133.52 | 2.73x | $230.67 | $857.7K | 8.5K | 6.8K |
| 2021 | $559.53 | $176.81 | 3.16x | $382.72 | $1.1M | 9.8K | 8.1K |
| 2022 | $1.1K | $383.00 | 2.87x | $717.49 | $1.3M | 10.9K | 8.8K |
| 2023 | $1.0K | $255.79 | 4.02x | $771.93 | $1.1M | 10.6K | 8.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.5K | $2.0M | $303.69 | 2.41x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.7K | $1.6M | $84.47 | 2.38x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.5K | $844.9K | $129.94 | 3.23x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 5.1K | $708.4K | $140.02 | 3.00x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 6.5K | $476.2K | $73.39 | 3.32x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.3K | $422.4K | $180.45 | 2.73x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 3.1K | $416.3K | $135.41 | 3.12x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 196 | $279.1K | $1.4K | 2.83x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $236.8K | $118.18 | 2.46x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 180 | $219.9K | $1.2K | 2.88x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 485 | $203.5K | $419.53 | 2.30x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.5K | $200.3K | $44.86 | 2.38x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 109 | $139.9K | $1.3K | 2.74x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 990 | $126.1K | $127.41 | 3.21x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.5K | $122.9K | $11.67 | 3.85x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.0K | $116.3K | $56.83 | 2.30x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 677 | $105.8K | $156.23 | 2.25x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 693 | $100.0K | $144.35 | 7.29x |
| 33340 | Repair of left upper heart | 143 | $89.0K | $622.12 | 2.66x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 62 | $86.5K | $1.4K | 2.47x |
This provider submits charges 2.79 times higher than what Medicare actually pays.
A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. 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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