This provider averages 52 services per working day
Based on 128.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
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 | $208.81 | $117.95 | 1.77x | $90.86 | $1.5M | 13.9K | 8.8K |
| 2015 | $171.01 | $106.20 | 1.61x | $64.81 | $1.8M | 16.1K | 10.9K |
| 2016 | $233.26 | $105.43 | 2.21x | $127.83 | $1.8M | 16.3K | 11.1K |
| 2017 | $157.32 | $118.53 | 1.33x | $38.79 | $1.8M | 14.6K | 10.1K |
| 2018 | $163.06 | $127.22 | 1.28x | $35.84 | $1.8M | 14.5K | 10.8K |
| 2019 | $167.37 | $118.59 | 1.41x | $48.78 | $1.5M | 13.4K | 9.7K |
| 2020 | $155.12 | $109.77 | 1.41x | $45.35 | $1.1M | 10.1K | 7.3K |
| 2021 | $174.64 | $133.87 | 1.30x | $40.77 | $1.4M | 10.9K | 7.6K |
| 2022 | $171.92 | $123.31 | 1.39x | $48.61 | $1.2M | 9.9K | 6.8K |
| 2023 | $176.79 | $128.86 | 1.37x | $47.93 | $1.1M | 9.3K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 7.9K | $3.6M | $457.72 | 1.59x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 26.1K | $2.7M | $102.84 | 1.40x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 10.1K | $2.0M | $199.12 | 1.66x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 7.3K | $1.4M | $187.06 | 1.47x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 5.6K | $1.3M | $231.98 | 1.51x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 7.9K | $896.9K | $113.92 | 1.49x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 4.8K | $708.1K | $146.42 | 1.60x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 7.9K | $540.5K | $68.61 | 1.63x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 26.9K | $414.8K | $15.42 | 1.51x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 4.9K | $334.1K | $68.64 | 1.31x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.5K | $260.8K | $177.88 | 1.41x |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | 5.5K | $253.7K | $45.98 | 2.02x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 4.9K | $205.6K | $42.26 | 1.40x |
| 93923 | Ultrasound study of arteries of both arms and legs | 803 | $95.8K | $119.34 | 1.73x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 996 | $79.2K | $79.49 | 1.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 789 | $49.2K | $62.39 | 1.45x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 301 | $45.9K | $152.40 | 1.39x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 395 | $25.4K | $64.36 | 1.41x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 768 | $22.1K | $28.80 | 1.41x |
| 99236 | Hospital observation or inpatient care high severity, 55 minutes per day | 110 | $21.5K | $195.06 | 1.37x |
This provider submits charges 1.53 times higher than what Medicare actually pays.
A markup ratio of 1.53x means for every $100 Medicare pays, this provider initially charges $153. 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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