This provider's $7.1M in total Medicare payments ranks in the 99th percentile of Cardiac Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $558.62 | $140.99 | 3.96x | $417.63 | $597.5K | 4.7K | 3.2K |
| 2015 | $597.96 | $144.22 | 4.15x | $453.74 | $614.8K | 4.7K | 3.4K |
| 2016 | $569.50 | $140.73 | 4.05x | $428.77 | $599.2K | 4.9K | 3.5K |
| 2017 | $584.55 | $155.46 | 3.76x | $429.09 | $656.4K | 5.3K | 3.9K |
| 2018 | $603.40 | $167.92 | 3.59x | $435.48 | $726.5K | 5.3K | 3.9K |
| 2019 | $609.38 | $168.82 | 3.61x | $440.56 | $714.1K | 5.3K | 3.9K |
| 2020 | $659.38 | $192.77 | 3.42x | $466.61 | $710.2K | 4.3K | 3.4K |
| 2021 | $643.84 | $191.04 | 3.37x | $452.80 | $870.6K | 5.3K | 4.2K |
| 2022 | $640.75 | $191.43 | 3.35x | $449.32 | $819.6K | 4.9K | 3.9K |
| 2023 | $906.07 | $324.56 | 2.79x | $581.51 | $802.8K | 4.8K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.6K | $2.0M | $1.2K | 4.82x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.8K | $1.2M | $88.26 | 1.49x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.3K | $551.6K | $128.67 | 1.46x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.6K | $532.9K | $332.46 | 6.02x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.5K | $512.0K | $146.82 | 3.70x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 2.1K | $446.1K | $214.68 | 2.91x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 446 | $320.6K | $718.87 | 1.54x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.8K | $299.8K | $169.46 | 2.36x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 968 | $162.6K | $167.97 | 2.38x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 948 | $154.8K | $163.26 | 2.45x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.7K | $149.6K | $85.53 | 1.53x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 914 | $129.3K | $141.49 | 2.23x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.6K | $98.9K | $63.22 | 5.15x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 2.1K | $98.8K | $47.16 | 3.39x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.6K | $72.5K | $44.67 | 4.48x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 807 | $56.0K | $69.35 | 7.21x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.7K | $51.1K | $13.64 | 6.60x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 231 | $49.2K | $213.02 | 1.76x |
| 33285 | Insertion of heart rhythm monitor under skin | 12 | $49.0K | $4.1K | 1.96x |
| 93325 | Doppler ultrasound study of color-directed heart blood flow, rate, and valve function | 2.1K | $47.3K | $22.59 | 7.08x |
This provider submits charges 3.42 times higher than what Medicare actually pays.
A markup ratio of 3.42x means for every $100 Medicare pays, this provider initially charges $342. 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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