This provider's $6.8M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 87% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 110% 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 | $257.47 | $111.03 | 2.32x | $146.44 | $598.5K | 6.5K | 4.8K |
| 2015 | $307.85 | $131.73 | 2.34x | $176.12 | $605.3K | 6.7K | 4.7K |
| 2016 | $318.35 | $142.16 | 2.24x | $176.19 | $625.2K | 6.6K | 4.8K |
| 2017 | $354.60 | $151.55 | 2.34x | $203.05 | $635.4K | 6.5K | 5.0K |
| 2018 | $327.28 | $157.84 | 2.07x | $169.44 | $618.9K | 6.4K | 5.1K |
| 2019 | $348.75 | $159.51 | 2.19x | $189.24 | $617.9K | 6.8K | 5.3K |
| 2020 | $341.30 | $160.63 | 2.12x | $180.67 | $532.7K | 5.7K | 4.6K |
| 2021 | $379.38 | $134.56 | 2.82x | $244.82 | $475.9K | 5.1K | 4.0K |
| 2022 | $417.00 | $174.42 | 2.39x | $242.58 | $999.8K | 10.7K | 7.1K |
| 2023 | $476.10 | $221.18 | 2.15x | $254.92 | $1.1M | 12.8K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.6K | $1.3M | $87.21 | 2.37x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.8K | $958.5K | $343.92 | 2.37x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.1K | $748.5K | $122.12 | 2.79x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.8K | $351.6K | $126.20 | 1.59x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 601 | $306.3K | $509.73 | 2.05x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.9K | $303.7K | $161.04 | 2.30x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.3K | $291.5K | $229.51 | 2.31x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.2K | $187.6K | $87.16 | 2.26x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 111 | $174.3K | $1.6K | 1.68x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 220 | $157.1K | $714.09 | 2.60x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.5K | $149.5K | $60.20 | 2.20x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $148.0K | $123.89 | 2.46x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.8K | $145.6K | $52.16 | 3.52x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.0K | $122.8K | $12.30 | 3.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $86.5K | $61.02 | 2.07x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 144 | $84.4K | $585.78 | 1.94x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 539 | $84.0K | $155.81 | 2.87x |
| 99220 | Hospital observation care typically 70 minutes per day | 554 | $82.9K | $149.62 | 2.13x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 240 | $73.8K | $307.69 | 2.16x |
| 93567 | Injection for X-ray imaging of aorta above heart valve | 1.6K | $72.0K | $45.56 | 3.55x |
This provider submits charges 2.39 times higher than what Medicare actually pays.
A markup ratio of 2.39x means for every $100 Medicare pays, this provider initially charges $239. 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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