This provider's $11.1M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 96% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 66% 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 | $690.99 | $151.23 | 4.57x | $539.76 | $914.4K | 7.7K | 6.2K |
| 2015 | $756.53 | $140.19 | 5.40x | $616.34 | $917.3K | 7.5K | 6.1K |
| 2016 | $816.52 | $157.43 | 5.19x | $659.09 | $1.1M | 9.6K | 7.4K |
| 2017 | $795.50 | $151.86 | 5.24x | $643.64 | $1.0M | 8.2K | 6.5K |
| 2018 | $722.53 | $150.40 | 4.80x | $572.13 | $1.0M | 7.9K | 6.2K |
| 2019 | $784.31 | $151.51 | 5.18x | $632.80 | $978.1K | 7.7K | 5.9K |
| 2020 | $827.39 | $183.44 | 4.51x | $643.95 | $1.2M | 7.5K | 5.8K |
| 2021 | $801.19 | $173.54 | 4.62x | $627.65 | $1.0M | 6.8K | 5.6K |
| 2022 | $989.98 | $206.79 | 4.79x | $783.19 | $1.1M | 7.4K | 5.6K |
| 2023 | $899.83 | $182.82 | 4.92x | $717.01 | $1.8M | 8.9K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 3.1K | $3.6M | $1.1K | 4.61x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.7K | $895.0K | $83.85 | 2.62x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.5K | $843.4K | $128.77 | 6.63x |
| A9526 | Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries | 2.6K | $714.7K | $272.87 | 3.10x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 328 | $475.1K | $1.4K | 4.49x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 775 | $460.4K | $594.08 | 7.57x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 859 | $348.8K | $406.10 | 1.96x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 913 | $329.9K | $361.30 | 3.56x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.4K | $247.6K | $56.23 | 5.34x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.9K | $228.3K | $58.11 | 4.80x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 5.8K | $209.8K | $36.48 | 2.88x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 439 | $197.4K | $449.63 | 5.47x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.0K | $195.0K | $194.46 | 2.37x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.8K | $164.8K | $43.58 | 2.07x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.1K | $154.8K | $143.08 | 3.22x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 823 | $146.5K | $178.06 | 7.37x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 549 | $141.0K | $256.88 | 6.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $129.3K | $121.64 | 2.80x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.9K | $121.1K | $64.16 | 2.96x |
| 78434 | Nuclear medicine absolute quantification of blood flow in heart muscle | 1.0K | $108.5K | $106.92 | 3.97x |
This provider submits charges 4.45 times higher than what Medicare actually pays.
A markup ratio of 4.45x means for every $100 Medicare pays, this provider initially charges $445. 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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