This provider's $4.3M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2017
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 | $218.27 | $103.79 | 2.10x | $114.48 | $507.8K | 8.5K | 4.1K |
| 2015 | $242.03 | $115.78 | 2.09x | $126.25 | $312.5K | 5.6K | 3.9K |
| 2016 | $261.22 | $101.46 | 2.57x | $159.76 | $263.5K | 4.8K | 3.2K |
| 2017 | $265.26 | $84.22 | 3.15x | $181.04 | $431.6K | 6.2K | 4.7K |
| 2018 | $286.51 | $85.53 | 3.35x | $200.98 | $476.3K | 7.6K | 5.8K |
| 2019 | $268.10 | $82.96 | 3.23x | $185.14 | $507.7K | 8.1K | 5.7K |
| 2020 | $289.46 | $81.03 | 3.57x | $208.43 | $437.9K | 6.9K | 4.8K |
| 2021 | $263.11 | $72.68 | 3.62x | $190.43 | $497.7K | 8.1K | 5.6K |
| 2022 | $286.52 | $77.60 | 3.69x | $208.92 | $465.7K | 7.8K | 5.5K |
| 2023 | $299.91 | $82.70 | 3.63x | $217.21 | $442.3K | 7.8K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 11.5K | $653.2K | $56.72 | 1.79x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 1.3K | $576.7K | $435.58 | 2.58x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.9K | $445.7K | $64.53 | 2.53x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.3K | $351.3K | $152.55 | 1.81x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.6K | $297.2K | $183.48 | 2.89x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.7K | $277.8K | $101.79 | 1.97x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.4K | $245.6K | $55.53 | 5.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $196.3K | $44.18 | 2.34x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 3.6K | $111.6K | $31.06 | 2.15x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 643 | $90.3K | $140.46 | 3.33x |
| 92978 | Ultrasound evaluation of heart blood vessel or graft | 1.2K | $87.5K | $75.33 | 3.32x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.0K | $83.1K | $79.38 | 1.88x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 234 | $72.2K | $308.43 | 3.40x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 340 | $63.1K | $185.60 | 3.21x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 9.6K | $61.0K | $6.35 | 5.75x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 3.0K | $60.5K | $20.47 | 12.96x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 1.0K | $57.5K | $56.55 | 3.55x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 409 | $38.0K | $92.81 | 2.27x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 332 | $35.1K | $105.72 | 2.44x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 81 | $34.3K | $423.29 | 2.72x |
This provider submits charges 3.1 times higher than what Medicare actually pays.
A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. 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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