This provider's $10.9M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 146% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% in 2023
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 | $329.74 | $102.89 | 3.20x | $226.85 | $826.6K | 10.1K | 5.6K |
| 2015 | $327.93 | $107.93 | 3.04x | $220.00 | $691.1K | 7.7K | 4.3K |
| 2016 | $326.84 | $107.49 | 3.04x | $219.35 | $873.3K | 11.0K | 5.5K |
| 2017 | $330.33 | $99.14 | 3.33x | $231.19 | $825.7K | 8.4K | 5.2K |
| 2018 | $509.34 | $167.36 | 3.04x | $341.98 | $1.1M | 8.6K | 5.6K |
| 2019 | $750.48 | $221.14 | 3.39x | $529.34 | $1.2M | 9.4K | 5.7K |
| 2020 | $1.1K | $259.85 | 4.21x | $834.73 | $1.1M | 9.2K | 5.3K |
| 2021 | $1.0K | $217.90 | 4.72x | $809.63 | $1.0M | 9.8K | 5.9K |
| 2022 | $1.0K | $226.04 | 4.58x | $808.16 | $1.2M | 10.8K | 6.3K |
| 2023 | $1.1K | $237.72 | 4.79x | $901.22 | $2.0M | 10.8K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.8K | $1.2M | $88.16 | 2.34x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 835 | $992.0K | $1.2K | 3.72x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.6K | $974.8K | $376.79 | 3.79x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 474 | $929.3K | $2.0K | 2.80x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.8K | $833.2K | $144.03 | 4.05x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 370 | $635.6K | $1.7K | 2.12x |
| 33285 | Insertion of heart rhythm monitor under skin | 144 | $569.9K | $4.0K | 3.52x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 8.0K | $458.6K | $57.51 | 2.76x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.0K | $380.9K | $187.54 | 3.54x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 2.5K | $331.8K | $134.60 | 3.65x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.2K | $306.2K | $59.40 | 3.02x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.2K | $281.0K | $129.51 | 3.31x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 452 | $276.9K | $612.55 | 1.39x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.0K | $271.6K | $136.57 | 3.67x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $195.6K | $125.47 | 2.18x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 902 | $180.7K | $200.34 | 7.17x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.0K | $159.0K | $52.62 | 4.52x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 474 | $135.7K | $286.19 | 3.55x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 3.9K | $113.8K | $29.11 | 8.58x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 231 | $113.0K | $489.27 | 7.41x |
This provider submits charges 3.48 times higher than what Medicare actually pays.
A markup ratio of 3.48x means for every $100 Medicare pays, this provider initially charges $348. 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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