This provider's $6.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 88% from 2014 to 2023.
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 | $269.50 | $86.14 | 3.13x | $183.36 | $459.4K | 5.9K | 4.5K |
| 2015 | $242.67 | $78.02 | 3.11x | $164.65 | $463.4K | 6.7K | 4.5K |
| 2016 | $237.68 | $76.74 | 3.10x | $160.94 | $437.0K | 6.2K | 4.4K |
| 2017 | $271.71 | $86.38 | 3.15x | $185.33 | $580.7K | 7.6K | 5.6K |
| 2018 | $282.85 | $92.74 | 3.05x | $190.11 | $712.1K | 8.2K | 6.7K |
| 2019 | $302.35 | $90.18 | 3.35x | $212.17 | $685.0K | 8.2K | 6.4K |
| 2020 | $288.90 | $84.24 | 3.43x | $204.66 | $552.7K | 7.0K | 5.3K |
| 2021 | $300.37 | $91.02 | 3.30x | $209.35 | $665.5K | 7.9K | 6.4K |
| 2022 | $308.34 | $98.02 | 3.15x | $210.32 | $677.9K | 7.2K | 5.9K |
| 2023 | $456.33 | $152.83 | 2.99x | $303.50 | $862.4K | 7.3K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.4K | $1.5M | $242.33 | 3.32x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.8K | $1.0M | $149.85 | 3.54x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.4K | $764.0K | $81.37 | 2.35x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 3.8K | $485.0K | $126.55 | 2.82x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.8K | $239.1K | $85.59 | 2.23x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 402 | $231.6K | $576.01 | 3.06x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.7K | $216.6K | $58.09 | 2.27x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $199.3K | $160.97 | 2.30x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.9K | $188.6K | $48.71 | 4.10x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 78 | $166.6K | $2.1K | 2.58x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.2K | $141.6K | $44.40 | 3.09x |
| 93798 | Physician services for outpatient heart rehabilitation with continuous EKG monitoring per session | 5.2K | $96.7K | $18.70 | 3.37x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 723 | $90.3K | $124.84 | 2.09x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 771 | $89.6K | $116.18 | 2.53x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 7.0K | $83.0K | $11.87 | 3.71x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.5K | $72.1K | $47.33 | 3.08x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 229 | $57.8K | $252.23 | 3.25x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 429 | $46.8K | $109.06 | 2.27x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 2.5K | $41.9K | $16.77 | 3.38x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 1.7K | $39.1K | $22.41 | 3.86x |
This provider submits charges 3.06 times higher than what Medicare actually pays.
A markup ratio of 3.06x means for every $100 Medicare pays, this provider initially charges $306. 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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