⚠️ This provider averages 526 services per working day — physically unusual for an individual practitioner
Based on 1.3M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $26.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 526 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 160% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% 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 | $64.17 | $20.52 | 3.13x | $43.65 | $1.9M | 93.6K | 71 |
| 2015 | $57.26 | $18.45 | 3.10x | $38.81 | $1.9M | 105.2K | 68 |
| 2016 | $61.18 | $19.15 | 3.19x | $42.03 | $2.1M | 111.1K | 72 |
| 2017 | $63.71 | $19.64 | 3.24x | $44.07 | $2.3M | 117.1K | 70 |
| 2018 | $55.17 | $17.64 | 3.13x | $37.53 | $2.6M | 149.1K | 68 |
| 2019 | $58.55 | $17.69 | 3.31x | $40.86 | $2.6M | 145.4K | 80 |
| 2020 | $65.69 | $19.63 | 3.35x | $46.06 | $2.3M | 118.3K | 75 |
| 2021 | $74.61 | $22.49 | 3.32x | $52.12 | $2.8M | 124.4K | 77 |
| 2022 | $76.82 | $24.53 | 3.13x | $52.29 | $3.0M | 124.0K | 74 |
| 2023 | $64.92 | $22.11 | 2.94x | $42.81 | $5.0M | 226.1K | 71 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37.0K | $2.3M | $62.50 | 1.84x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 9.7K | $1.7M | $175.02 | 5.14x |
| 93351 | Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report | 6.5K | $1.4M | $212.12 | 4.24x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 7.3K | $1.3M | $172.35 | 2.90x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 27.6K | $1.1M | $41.09 | 2.43x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 25.9K | $983.0K | $38.01 | 3.95x |
| 83970 | Parathormone (parathyroid hormone) level | 21.1K | $964.9K | $45.79 | 2.18x |
| J1306 | Injection, inclisiran, 1 mg | 91.4K | $862.3K | $9.43 | 1.91x |
| 78492 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 561 | $743.5K | $1.3K | 2.64x |
| 82306 | Vitamin d-3 level | 20.2K | $692.0K | $34.28 | 2.92x |
| 84238 | Chemical receptor analysis | 14.5K | $661.3K | $45.48 | 3.30x |
| 83090 | Homocysteine (amino acid) level | 26.3K | $514.9K | $19.59 | 2.55x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 25.9K | $491.6K | $19.01 | 2.63x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.1K | $464.0K | $414.29 | 3.62x |
| 82746 | Folic acid level, serum | 27.4K | $457.9K | $16.69 | 3.60x |
| 93925 | Ultrasound of leg arteries or artery grafts | 2.0K | $450.0K | $228.29 | 1.75x |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 4.2K | $447.6K | $106.97 | 1.87x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 25.0K | $426.7K | $17.10 | 3.51x |
| 82728 | Ferritin (blood protein) level | 27.4K | $423.6K | $15.48 | 3.23x |
| 84480 | Thyroid hormone, t3 measurement, total | 25.9K | $415.3K | $16.02 | 2.81x |
This provider submits charges 3.16 times higher than what Medicare actually pays.
A markup ratio of 3.16x means for every $100 Medicare pays, this provider initially charges $316. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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