This provider's $4.8M in total Medicare payments ranks in the 98th 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 | $478.17 | $163.92 | 2.92x | $314.25 | $481.3K | 5.0K | 4.0K |
| 2015 | $459.37 | $147.87 | 3.11x | $311.50 | $341.1K | 3.2K | 2.3K |
| 2016 | $572.68 | $184.54 | 3.10x | $388.14 | $495.8K | 4.4K | 3.2K |
| 2017 | $679.08 | $198.68 | 3.42x | $480.40 | $367.4K | 3.5K | 2.4K |
| 2018 | $635.85 | $198.92 | 3.20x | $436.93 | $520.8K | 4.8K | 3.7K |
| 2019 | $549.45 | $163.65 | 3.36x | $385.80 | $507.7K | 4.6K | 3.4K |
| 2020 | $433.05 | $134.58 | 3.22x | $298.47 | $408.0K | 5.4K | 4.5K |
| 2021 | $430.36 | $128.86 | 3.34x | $301.50 | $466.1K | 8.6K | 7.1K |
| 2022 | $620.43 | $162.51 | 3.82x | $457.92 | $627.7K | 17.2K | 12.5K |
| 2023 | $862.20 | $197.07 | 4.38x | $665.13 | $557.9K | 17.5K | 12.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.0K | $1.2M | $82.82 | 3.13x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.4K | $731.3K | $114.76 | 3.58x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.9K | $323.0K | $171.82 | 3.41x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.7K | $228.2K | $135.00 | 3.35x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 181 | $221.5K | $1.2K | 3.37x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.7K | $202.6K | $121.63 | 4.03x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 200 | $196.4K | $982.15 | 3.36x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 27.5K | $180.2K | $6.54 | 3.13x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 967 | $146.3K | $151.25 | 2.94x |
| 33285 | Insertion of heart rhythm monitor under skin | 33 | $127.1K | $3.9K | 4.44x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.3K | $108.3K | $81.91 | 2.98x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 805 | $107.2K | $133.13 | 3.21x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 807 | $107.0K | $132.57 | 2.79x |
| 93922 | Ultrasound study of arteries of both arms and legs | 2.0K | $104.4K | $51.49 | 4.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 764 | $91.5K | $119.70 | 2.85x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 485 | $80.6K | $166.09 | 3.01x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 121 | $76.2K | $630.11 | 2.54x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 359 | $72.0K | $200.50 | 4.16x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 645 | $56.2K | $87.20 | 3.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 940 | $50.2K | $53.41 | 3.12x |
This provider submits charges 3.36 times higher than what Medicare actually pays.
A markup ratio of 3.36x means for every $100 Medicare pays, this provider initially charges $336. 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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