This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Their average markup ratio of 5.44x is significantly above the specialty median of 3.6x.
AI-generated analysis based on Medicare payment data.
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 | $1.0K | $236.32 | 4.39x | $800.58 | $669.5K | 3.6K | 3.1K |
| 2015 | $1.3K | $293.79 | 4.48x | $1.0K | $755.5K | 3.8K | 3.2K |
| 2016 | $1.3K | $267.00 | 4.81x | $1.0K | $754.9K | 3.9K | 3.4K |
| 2017 | $1.6K | $238.12 | 6.55x | $1.3K | $681.7K | 5.0K | 4.2K |
| 2018 | $1.7K | $270.56 | 6.15x | $1.4K | $736.4K | 5.6K | 4.6K |
| 2019 | $1.5K | $256.00 | 5.92x | $1.3K | $849.0K | 6.4K | 5.4K |
| 2020 | $1.5K | $250.13 | 5.94x | $1.2K | $648.6K | 4.7K | 4.0K |
| 2021 | $1.6K | $266.82 | 5.93x | $1.3K | $793.4K | 5.6K | 4.7K |
| 2022 | $1.4K | $258.54 | 5.28x | $1.1K | $661.0K | 5.3K | 4.2K |
| 2023 | $1.2K | $201.80 | 5.92x | $993.64 | $610.5K | 5.2K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 2.5K | $1.3M | $505.37 | 4.84x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 1.5K | $867.1K | $593.49 | 4.65x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 3.7K | $747.3K | $201.70 | 6.09x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 857 | $656.7K | $766.25 | 7.04x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.1K | $407.3K | $66.35 | 3.94x |
| 92986 | Catheter based repair of left lower heart (aortic) valve, accessed through the skin | 314 | $383.5K | $1.2K | 4.41x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 1.1K | $319.3K | $290.84 | 5.69x |
| 92943 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 445 | $278.0K | $624.72 | 4.42x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 2.9K | $254.8K | $86.86 | 4.48x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 482 | $198.7K | $412.31 | 5.27x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 959 | $184.7K | $192.59 | 8.03x |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4K | $159.2K | $65.39 | 4.35x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 319 | $158.4K | $496.54 | 4.85x |
| 92941 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin | 178 | $105.4K | $592.19 | 4.30x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 1.2K | $96.6K | $79.86 | 8.57x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 960 | $93.7K | $97.59 | 4.11x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.6K | $93.3K | $36.32 | 5.35x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.4K | $84.9K | $13.30 | 6.86x |
| 99239 | Hospital discharge day management, more than 30 minutes | 842 | $78.5K | $93.18 | 3.65x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.2K | $74.4K | $62.57 | 3.00x |
This provider submits charges 5.44 times higher than what Medicare actually pays.
A markup ratio of 5.44x means for every $100 Medicare pays, this provider initially charges $544. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data