This provider's $10.1M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 71% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% 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 | $274.23 | $82.52 | 3.32x | $191.71 | $572.0K | 7.7K | 6.9K |
| 2015 | $267.74 | $88.75 | 3.02x | $178.99 | $827.8K | 11.7K | 10.6K |
| 2016 | $310.10 | $113.03 | 2.74x | $197.07 | $1.1M | 12.2K | 10.9K |
| 2017 | $284.87 | $101.17 | 2.82x | $183.70 | $1.1M | 10.0K | 8.4K |
| 2018 | $253.84 | $86.11 | 2.95x | $167.73 | $1.0M | 11.0K | 9.3K |
| 2019 | $285.15 | $93.78 | 3.04x | $191.37 | $1.0M | 10.9K | 9.1K |
| 2020 | $269.01 | $99.82 | 2.69x | $169.19 | $899.8K | 7.9K | 6.7K |
| 2021 | $315.98 | $131.15 | 2.41x | $184.83 | $1.5M | 11.1K | 10.0K |
| 2022 | $305.93 | $122.14 | 2.50x | $183.79 | $1.1M | 8.7K | 7.8K |
| 2023 | $345.22 | $147.01 | 2.35x | $198.21 | $979.2K | 8.0K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.4K | $1.7M | $124.02 | 3.63x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 11.8K | $1.4M | $117.01 | 3.85x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 10.4K | $1.1M | $109.05 | 4.13x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 5.4K | $1.1M | $204.22 | 2.20x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 7.0K | $1.1M | $156.34 | 2.40x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 7.0K | $809.4K | $115.52 | 3.25x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.9K | $742.8K | $392.61 | 1.91x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.9K | $388.7K | $56.61 | 2.75x |
| 93922 | Ultrasound study of arteries of both arms and legs | 6.9K | $322.0K | $46.60 | 8.06x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.9K | $318.2K | $169.79 | 1.28x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $281.6K | $94.14 | 2.59x |
| 93931 | Ultrasound study of arteries and arterial grafts of one arm or limited | 3.6K | $204.7K | $56.38 | 5.32x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.1K | $114.7K | $11.37 | 3.52x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 168 | $110.0K | $654.76 | 1.55x |
| 93965 | Ultrasound study of veins of both arms or legs including assessment of functional maneuvers | 1.9K | $102.1K | $53.45 | 7.02x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.9K | $99.4K | $52.16 | 3.83x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 340 | $53.8K | $158.32 | 2.37x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 417 | $50.6K | $121.28 | 2.29x |
| 93930 | Ultrasound study of arteries and arterial grafts of both arms | 249 | $36.5K | $146.69 | 2.56x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.1K | $34.0K | $31.96 | 3.17x |
This provider submits charges 3.3 times higher than what Medicare actually pays.
A markup ratio of 3.3x means for every $100 Medicare pays, this provider initially charges $330. 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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