This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $234.81 | $83.39 | 2.82x | $151.42 | $720.6K | 7.1K | 5.7K |
| 2015 | $221.65 | $77.38 | 2.86x | $144.27 | $720.7K | 7.6K | 6.0K |
| 2016 | $195.13 | $70.20 | 2.78x | $124.93 | $711.2K | 8.4K | 6.5K |
| 2017 | $220.28 | $79.35 | 2.78x | $140.93 | $719.9K | 8.2K | 6.4K |
| 2018 | $186.08 | $67.91 | 2.74x | $118.17 | $769.5K | 8.7K | 6.7K |
| 2019 | $414.43 | $159.96 | 2.59x | $254.47 | $793.1K | 8.6K | 6.6K |
| 2020 | $462.19 | $178.67 | 2.59x | $283.52 | $689.0K | 7.2K | 5.4K |
| 2021 | $231.37 | $86.20 | 2.68x | $145.17 | $871.0K | 9.7K | 6.4K |
| 2022 | $205.84 | $72.37 | 2.84x | $133.47 | $884.5K | 11.1K | 6.6K |
| 2023 | $222.62 | $76.81 | 2.90x | $145.81 | $850.1K | 11.5K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 14.5K | $2.0M | $138.05 | 3.24x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.9K | $1.5M | $384.60 | 2.43x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.0K | $1.5M | $92.01 | 2.06x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.6K | $357.2K | $99.22 | 4.06x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.8K | $208.0K | $115.12 | 2.26x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.6K | $196.8K | $54.43 | 6.03x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $185.4K | $122.64 | 2.04x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $173.6K | $130.13 | 2.20x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.5K | $153.6K | $44.00 | 2.27x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.6K | $126.5K | $48.67 | 2.92x |
| 33285 | Insertion of heart rhythm monitor under skin | 22 | $102.5K | $4.7K | 2.50x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 598 | $97.9K | $163.71 | 2.33x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 2.3K | $97.0K | $42.00 | 2.64x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 604 | $73.2K | $121.26 | 1.88x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 341 | $70.1K | $205.43 | 2.76x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 412 | $69.9K | $169.59 | 2.11x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 474 | $64.2K | $135.52 | 2.82x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.1K | $58.7K | $52.45 | 2.59x |
| 93227 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 3.0K | $56.6K | $18.79 | 3.67x |
| 93225 | Heart rhythm tracing of 48-hour EKG | 3.0K | $56.2K | $19.03 | 3.48x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. 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.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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