This provider's $8.4M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 725% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 80% in 2023
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 | $258.66 | $86.26 | 3.00x | $172.40 | $266.5K | 3.0K | 1.2K |
| 2015 | $187.89 | $92.10 | 2.04x | $95.79 | $395.7K | 5.2K | 2.7K |
| 2016 | $128.80 | $78.11 | 1.65x | $50.69 | $469.2K | 6.9K | 3.5K |
| 2017 | $155.51 | $89.89 | 1.73x | $65.62 | $474.7K | 6.7K | 3.5K |
| 2018 | $156.07 | $86.66 | 1.80x | $69.41 | $525.6K | 7.3K | 4.2K |
| 2019 | $311.89 | $197.59 | 1.58x | $114.30 | $823.4K | 7.3K | 4.8K |
| 2020 | $326.75 | $210.86 | 1.55x | $115.89 | $1.1M | 8.9K | 5.4K |
| 2021 | $345.42 | $226.00 | 1.53x | $119.42 | $898.9K | 8.5K | 5.0K |
| 2022 | $333.42 | $207.24 | 1.61x | $126.18 | $1.2M | 12.6K | 6.2K |
| 2023 | $417.07 | $258.68 | 1.61x | $158.39 | $2.2M | 15.0K | 7.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33285 | Insertion of heart rhythm monitor under skin | 296 | $1.2M | $4.0K | 1.45x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 9.2K | $767.5K | $83.04 | 1.88x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 399 | $733.1K | $1.8K | 1.29x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.5K | $592.4K | $133.03 | 1.86x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.2K | $517.8K | $161.97 | 1.72x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.6K | $498.2K | $89.70 | 1.63x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.1K | $428.0K | $375.41 | 1.53x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.7K | $403.7K | $60.22 | 1.72x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 502 | $320.0K | $637.53 | 1.31x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 222 | $319.6K | $1.4K | 1.48x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.7K | $312.6K | $54.95 | 1.75x |
| G0422 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session | 2.7K | $259.5K | $96.55 | 1.44x |
| G0423 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session | 1.8K | $173.6K | $96.85 | 1.41x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.1K | $169.1K | $152.60 | 1.69x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 4.6K | $132.4K | $29.04 | 2.31x |
| 93298 | Remote evaluations of heart rhythm monitor system implanted under skin with qualified health care professional analysis, review, and report, up to 30 days | 5.3K | $113.2K | $21.33 | 1.74x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 935 | $112.1K | $119.85 | 2.07x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.2K | $108.6K | $90.18 | 1.50x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 684 | $102.9K | $150.40 | 1.72x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 326 | $102.8K | $315.32 | 1.30x |
This provider submits charges 1.64 times higher than what Medicare actually pays.
A markup ratio of 1.64x means for every $100 Medicare pays, this provider initially charges $164. 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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