This provider's $5.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 308% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% 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 | $328.78 | $76.17 | 4.32x | $252.61 | $235.4K | 4.7K | 2.6K |
| 2015 | $369.94 | $86.32 | 4.29x | $283.62 | $229.8K | 4.5K | 2.4K |
| 2016 | $221.26 | $61.05 | 3.62x | $160.21 | $250.5K | 4.9K | 2.5K |
| 2017 | $200.26 | $58.22 | 3.44x | $142.04 | $250.5K | 4.8K | 2.4K |
| 2018 | $249.69 | $69.84 | 3.58x | $179.85 | $305.6K | 5.2K | 2.8K |
| 2019 | $604.99 | $197.48 | 3.06x | $407.51 | $534.3K | 7.1K | 3.8K |
| 2020 | $311.57 | $85.99 | 3.62x | $225.58 | $467.5K | 7.0K | 3.8K |
| 2021 | $319.16 | $91.75 | 3.48x | $227.41 | $829.2K | 13.1K | 5.2K |
| 2022 | $349.43 | $94.89 | 3.68x | $254.54 | $1.0M | 16.5K | 5.6K |
| 2023 | $357.23 | $87.63 | 4.08x | $269.60 | $961.1K | 16.7K | 5.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.2K | $1.6M | $90.34 | 2.82x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 9.7K | $465.3K | $47.82 | 3.45x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.2K | $453.2K | $140.56 | 5.39x |
| 99457 | Remote monitoring of physiologic parameters management services, 20 minutes or more of qualified health care professional time per calendar month | 10.0K | $414.8K | $41.65 | 3.12x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 20.3K | $260.2K | $12.83 | 5.80x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.1K | $248.1K | $60.66 | 2.91x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $244.7K | $132.21 | 3.11x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 283 | $209.9K | $741.86 | 3.52x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 808 | $158.4K | $196.00 | 4.08x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 847 | $137.4K | $162.20 | 3.35x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 3.7K | $124.0K | $33.41 | 3.29x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 661 | $101.6K | $153.73 | 4.00x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 520 | $59.5K | $114.38 | 2.49x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 249 | $56.2K | $225.62 | 2.75x |
| 33285 | Insertion of heart rhythm monitor under skin | 12 | $56.0K | $4.7K | 2.82x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 362 | $44.1K | $121.79 | 2.66x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 840 | $43.8K | $52.10 | 2.86x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 808 | $35.7K | $44.19 | 4.53x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 368 | $32.3K | $87.72 | 3.02x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 146 | $29.2K | $200.13 | 3.07x |
This provider submits charges 3.52 times higher than what Medicare actually pays.
A markup ratio of 3.52x means for every $100 Medicare pays, this provider initially charges $352. 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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