This provider's $6.8M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology 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 | $348.37 | $163.52 | 2.13x | $184.85 | $734.1K | 6.5K | 5.2K |
| 2015 | $352.17 | $171.06 | 2.06x | $181.11 | $672.7K | 5.9K | 4.6K |
| 2016 | $356.87 | $160.34 | 2.23x | $196.53 | $719.1K | 6.4K | 5.0K |
| 2017 | $355.42 | $160.00 | 2.22x | $195.42 | $758.9K | 6.9K | 5.3K |
| 2018 | $409.33 | $191.20 | 2.14x | $218.13 | $680.2K | 6.0K | 4.7K |
| 2019 | $688.56 | $183.06 | 3.76x | $505.50 | $616.8K | 5.9K | 4.3K |
| 2020 | $1.5K | $204.69 | 7.11x | $1.3K | $609.4K | 5.5K | 4.1K |
| 2021 | $790.75 | $175.55 | 4.50x | $615.20 | $672.8K | 5.6K | 4.4K |
| 2022 | $689.11 | $161.91 | 4.26x | $527.20 | $708.0K | 5.7K | 4.3K |
| 2023 | $698.46 | $162.56 | 4.30x | $535.90 | $671.4K | 5.8K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 10.1K | $1.7M | $170.81 | 3.04x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.8K | $869.2K | $99.15 | 2.68x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 933 | $500.4K | $536.30 | 2.61x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.0K | $451.2K | $228.12 | 2.86x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 2.1K | $353.7K | $166.53 | 3.04x |
| 93923 | Ultrasound study of arteries of both arms and legs | 2.9K | $327.7K | $112.95 | 3.17x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.6K | $315.9K | $68.22 | 3.20x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.4K | $296.7K | $211.60 | 4.17x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.1K | $268.0K | $127.88 | 2.07x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.5K | $258.7K | $170.87 | 3.32x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.3K | $161.1K | $14.31 | 3.87x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 670 | $121.3K | $181.05 | 2.41x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 289 | $96.0K | $332.28 | 3.01x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 929 | $84.5K | $90.93 | 1.71x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 107 | $78.3K | $731.33 | 1.50x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 320 | $77.9K | $243.54 | 3.09x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 94 | $76.9K | $818.28 | 4.80x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 648 | $76.1K | $117.37 | 3.93x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 330 | $75.5K | $228.80 | 5.65x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 424 | $69.3K | $163.53 | 4.69x |
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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