This provider's $9.5M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 396% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 172% in 2020
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 | $202.05 | $83.23 | 2.43x | $118.82 | $420.6K | 7.1K | 4.5K |
| 2015 | $201.17 | $83.06 | 2.42x | $118.11 | $416.7K | 7.2K | 4.3K |
| 2016 | $199.21 | $80.51 | 2.47x | $118.70 | $426.1K | 7.6K | 4.7K |
| 2017 | $196.85 | $75.71 | 2.60x | $121.14 | $405.3K | 7.3K | 4.4K |
| 2018 | $210.34 | $78.36 | 2.68x | $131.98 | $380.5K | 7.0K | 4.2K |
| 2019 | $197.58 | $75.01 | 2.63x | $122.57 | $317.4K | 5.7K | 3.5K |
| 2020 | $367.58 | $145.21 | 2.53x | $222.37 | $862.2K | 6.7K | 5.8K |
| 2021 | $559.89 | $235.37 | 2.38x | $324.52 | $1.8M | 8.9K | 7.4K |
| 2022 | $500.40 | $204.46 | 2.45x | $295.94 | $2.4M | 9.9K | 8.5K |
| 2023 | $501.64 | $203.90 | 2.46x | $297.74 | $2.1M | 8.8K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 1.8K | $3.9M | $2.2K | 2.27x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.1K | $1.3M | $601.85 | 1.67x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.4K | $1.0M | $84.13 | 2.61x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.0K | $599.6K | $120.16 | 3.03x |
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 293 | $409.9K | $1.4K | 2.19x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 880 | $280.5K | $318.76 | 2.13x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.2K | $250.2K | $59.93 | 2.19x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $222.3K | $165.05 | 2.47x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12.8K | $156.6K | $12.21 | 3.70x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $148.2K | $121.21 | 2.45x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.6K | $117.1K | $45.14 | 1.41x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 669 | $111.6K | $166.81 | 2.28x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 642 | $81.4K | $126.85 | 2.57x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 103 | $75.2K | $729.82 | 3.29x |
| 93017 | Exercise or drug-induced heart and blood vessel stress test with ekg tracing and monitoring | 2.2K | $70.8K | $31.93 | 4.48x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 9.7K | $65.7K | $6.78 | 3.51x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 427 | $53.6K | $125.52 | 1.36x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 1.1K | $51.2K | $47.21 | 2.54x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 447 | $50.9K | $113.84 | 2.57x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 2.7K | $45.8K | $17.18 | 6.73x |
This provider submits charges 2.39 times higher than what Medicare actually pays.
A markup ratio of 2.39x means for every $100 Medicare pays, this provider initially charges $239. 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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