This provider's $5.5M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 197% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% in 2022
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 | $1.4K | $140.00 | 9.69x | $1.2K | $348.7K | 3.7K | 1.8K |
| 2015 | $1.5K | $134.39 | 10.94x | $1.3K | $396.6K | 4.1K | 2.3K |
| 2016 | $1.1K | $133.31 | 7.98x | $931.13 | $326.1K | 3.3K | 1.9K |
| 2017 | $820.86 | $140.24 | 5.85x | $680.62 | $390.2K | 3.6K | 2.3K |
| 2018 | $626.47 | $115.26 | 5.44x | $511.21 | $389.9K | 4.0K | 2.9K |
| 2019 | $687.84 | $119.49 | 5.76x | $568.35 | $472.6K | 4.7K | 3.1K |
| 2020 | $578.20 | $107.41 | 5.38x | $470.79 | $440.1K | 4.8K | 2.8K |
| 2021 | $511.41 | $108.86 | 4.70x | $402.55 | $599.8K | 5.9K | 4.0K |
| 2022 | $454.74 | $116.66 | 3.90x | $338.08 | $1.1M | 9.4K | 7.6K |
| 2023 | $462.38 | $108.87 | 4.25x | $353.51 | $1.0M | 9.7K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 15.0K | $936.8K | $62.47 | 3.63x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.3K | $733.6K | $171.55 | 6.04x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.7K | $472.5K | $172.51 | 4.91x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.1K | $208.5K | $99.54 | 3.04x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 857 | $206.7K | $241.23 | 9.56x |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 565 | $200.0K | $354.00 | 2.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $166.8K | $61.06 | 3.22x |
| 95924 | Testing of autonomic (sympathetic) nervous system function, at least 5 minutes of tilt | 1.2K | $166.1K | $135.16 | 2.47x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.4K | $152.1K | $112.00 | 2.96x |
| 95957 | Measurement of brain wave activity (eeg), digital analysis | 565 | $133.7K | $236.62 | 3.17x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.5K | $133.7K | $89.29 | 3.67x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 772 | $125.2K | $162.19 | 6.85x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 354 | $122.3K | $345.47 | 7.81x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 517 | $118.7K | $229.62 | 3.56x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 689 | $115.1K | $167.05 | 3.94x |
| 93922 | Ultrasound study of arteries of both arms and legs | 1.4K | $102.2K | $73.52 | 6.16x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 637 | $96.8K | $152.02 | 5.44x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 588 | $96.5K | $164.06 | 5.44x |
| 93923 | Ultrasound study of arteries of both arms and legs | 807 | $93.9K | $116.30 | 6.17x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 188 | $92.4K | $491.41 | 10.05x |
This provider submits charges 4.84 times higher than what Medicare actually pays.
A markup ratio of 4.84x means for every $100 Medicare pays, this provider initially charges $484. 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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