This provider's $18.6M in total Medicare payments ranks in the 99th 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 2021
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 | $163.27 | $115.33 | 1.42x | $47.94 | $1.8M | 13.9K | 13.4K |
| 2015 | $169.05 | $123.15 | 1.37x | $45.90 | $1.6M | 10.5K | 10.1K |
| 2016 | $170.54 | $107.20 | 1.59x | $63.34 | $1.4M | 10.6K | 9.9K |
| 2017 | $212.51 | $128.28 | 1.66x | $84.23 | $1.7M | 11.3K | 10.6K |
| 2018 | $197.84 | $130.99 | 1.51x | $66.85 | $1.8M | 11.4K | 10.7K |
| 2019 | $275.56 | $179.32 | 1.54x | $96.24 | $1.9M | 12.0K | 11.1K |
| 2020 | $302.61 | $180.83 | 1.67x | $121.78 | $1.9M | 11.1K | 9.7K |
| 2021 | $309.24 | $163.01 | 1.90x | $146.23 | $3.1M | 13.9K | 12.9K |
| 2022 | $386.77 | $178.96 | 2.16x | $207.81 | $2.0M | 8.5K | 7.9K |
| 2023 | $337.37 | $172.00 | 1.96x | $165.37 | $1.5M | 6.5K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 22.0K | $3.9M | $179.52 | 1.62x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 18.5K | $3.3M | $180.72 | 1.50x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 2.0K | $3.2M | $1.6K | 1.86x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 7.7K | $1.8M | $229.48 | 1.51x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.3K | $1.5M | $455.31 | 1.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.6K | $522.8K | $68.79 | 1.56x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.2K | $508.5K | $228.35 | 1.26x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 2.8K | $469.0K | $165.86 | 1.78x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 268 | $375.9K | $1.4K | 1.57x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.3K | $360.8K | $108.68 | 1.40x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.2K | $340.6K | $65.11 | 1.63x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 3.7K | $288.0K | $78.76 | 1.38x |
| 93922 | Ultrasound study of arteries of both arms and legs | 3.7K | $282.1K | $76.88 | 1.54x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.4K | $249.4K | $174.17 | 1.47x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.3K | $220.3K | $170.94 | 1.55x |
| G0389 | Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening | 2.0K | $208.6K | $102.95 | 1.45x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.9K | $185.2K | $96.53 | 1.59x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.1K | $140.8K | $45.51 | 1.36x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.0K | $107.2K | $106.31 | 2.00x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 389 | $98.6K | $253.45 | 1.52x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. 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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