This provider's $12.0M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 229% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% in 2020
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 | $393.01 | $98.09 | 4.01x | $294.92 | $636.1K | 6.0K | 4.6K |
| 2015 | $404.70 | $89.62 | 4.52x | $315.08 | $695.7K | 6.2K | 4.9K |
| 2016 | $446.80 | $91.05 | 4.91x | $355.75 | $718.8K | 6.6K | 5.1K |
| 2017 | $406.41 | $81.10 | 5.01x | $325.31 | $725.6K | 6.7K | 5.4K |
| 2018 | $409.67 | $78.30 | 5.23x | $331.37 | $725.4K | 6.7K | 5.2K |
| 2019 | $474.95 | $89.19 | 5.33x | $385.76 | $834.4K | 7.3K | 5.6K |
| 2020 | $855.50 | $187.47 | 4.56x | $668.03 | $1.4M | 7.7K | 5.8K |
| 2021 | $1.5K | $344.78 | 4.21x | $1.1K | $2.0M | 7.9K | 6.2K |
| 2022 | $1.0K | $225.11 | 4.47x | $781.31 | $2.2M | 8.7K | 6.8K |
| 2023 | $961.05 | $211.31 | 4.55x | $749.74 | $2.1M | 8.6K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 1.8K | $3.4M | $1.9K | 4.12x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.8K | $1.8M | $379.91 | 5.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.8K | $1.6M | $87.08 | 3.29x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.8K | $1.2M | $160.52 | 7.19x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.8K | $1.1M | $645.48 | 1.36x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 6.8K | $1.1M | $156.48 | 4.36x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 6.5K | $349.2K | $53.43 | 6.81x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 4.7K | $294.8K | $62.64 | 2.22x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.3K | $191.7K | $44.88 | 2.70x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $130.1K | $120.40 | 3.48x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.1K | $121.9K | $58.16 | 2.87x |
| 0295T | External EKG recording for more than 48 hours up to 21 days with analysis, report, review and interpretation | 414 | $107.0K | $258.38 | 3.48x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 720 | $60.6K | $84.12 | 2.71x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 132 | $58.6K | $444.21 | 5.87x |
| 93241 | Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 322 | $56.0K | $173.94 | 5.16x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 280 | $54.5K | $194.56 | 12.81x |
| 33285 | Insertion of heart rhythm monitor under skin | 11 | $47.6K | $4.3K | 3.68x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.9K | $46.6K | $11.93 | 6.75x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 65 | $43.3K | $665.80 | 3.30x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 246 | $39.3K | $159.66 | 2.80x |
This provider submits charges 4.33 times higher than what Medicare actually pays.
A markup ratio of 4.33x means for every $100 Medicare pays, this provider initially charges $433. 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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