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Methodology•Download Data
  1. Home
  2. Providers
  3. Karan Bhalla
❤️
MDIndividual

Karan Bhalla, MD

NPI: 1407902794
Pasadena, TX
10 years of data
Cardiology
$10.9M
Total Payments
56.3K
Beneficiaries
95.8K
Services
3.48x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.9M
Specialty median$193.1K

📋 Key Findings

1Billed $10.9M over 10 years
23.48x markup ratio (above median)
399th percentile in Cardiology by payments
4Payments surged 68% in 2023
514 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 68% in 2023

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$329.74$102.893.20x$226.85$826.6K10.1K5.6K
2015$327.93$107.933.04x$220.00$691.1K7.7K4.3K
2016$326.84$107.493.04x$219.35$873.3K11.0K5.5K
2017$330.33$99.143.33x$231.19$825.7K8.4K5.2K
2018$509.34$167.363.04x$341.98$1.1M8.6K5.6K
2019$750.48$221.143.39x$529.34$1.2M9.4K5.7K
2020$1.1K$259.854.21x$834.73$1.1M9.2K5.3K
2021$1.0K$217.904.72x$809.63$1.0M9.8K5.9K
2022$1.0K$226.044.58x$808.16$1.2M10.8K6.3K
2023$1.1K$237.724.79x$901.22$2.0M10.8K6.9K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$1.2M
13.8K services$88.16/svc2.34x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin⚠ 3.7x markup
$992.0K
835 services$1.2K/svc3.72x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 3.8x markup
$974.8K
2.6K services$376.79/svc3.79x markup
78431Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan
$929.3K
474 services$2.0K/svc2.80x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 4.0x markup
$833.2K
5.8K services$144.03/svc4.05x markup
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance
$635.6K
370 services$1.7K/svc2.12x markup
33285Insertion of heart rhythm monitor under skin⚠ 3.5x markup
$569.9K
144 services$4.0K/svc3.52x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$458.6K
8.0K services$57.51/svc2.76x markup
93925Ultrasound study of arteries and arterial grafts of both legs⚠ 3.5x markup
$380.9K
2.0K services$187.54/svc3.54x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers⚠ 3.6x markup
$331.8K
2.5K services$134.60/svc3.65x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.0x markup
$306.2K
5.2K services$59.40/svc3.02x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose⚠ 3.3x markup
$281.0K
2.2K services$129.51/svc3.31x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$276.9K
452 services$612.55/svc1.39x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck⚠ 3.7x markup
$271.6K
2.0K services$136.57/svc3.67x markup
99204New patient office or other outpatient visit, typically 45 minutes
$195.6K
1.6K services$125.47/svc2.18x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 7.2x markup
$180.7K
902 services$200.34/svc7.17x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 4.5x markup
$159.0K
3.0K services$52.62/svc4.52x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries⚠ 3.5x markup
$135.7K
474 services$286.19/svc3.55x markup
G2066Interrogation 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⚠ 8.6x markup
$113.8K
3.9K services$29.11/svc8.58x markup
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin⚠ 7.4x markup
$113.0K
231 services$489.27/svc7.41x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes13.8K$1.2M$88.162.34x
36475Destruction of insufficient vein of arm or leg, accessed through the skin835$992.0K$1.2K3.72x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2.6K$974.8K$376.793.79x
78431Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan474$929.3K$2.0K2.80x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function5.8K$833.2K$144.034.05x
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance370$635.6K$1.7K2.12x
33285Insertion of heart rhythm monitor under skin144$569.9K$4.0K3.52x
99232Subsequent hospital inpatient care, typically 25 minutes per day8.0K$458.6K$57.512.76x
93925Ultrasound study of arteries and arterial grafts of both legs2.0K$380.9K$187.543.54x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers2.5K$331.8K$134.603.65x
99213Established patient office or other outpatient visit, typically 15 minutes5.2K$306.2K$59.403.02x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose2.2K$281.0K$129.513.31x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days452$276.9K$612.551.39x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck2.0K$271.6K$136.573.67x
99204New patient office or other outpatient visit, typically 45 minutes1.6K$195.6K$125.472.18x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart902$180.7K$200.347.17x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report3.0K$159.0K$52.624.52x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries474$135.7K$286.193.55x
G2066Interrogation 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 tec3.9K$113.8K$29.118.58x
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin231$113.0K$489.277.41x

Markup Analysis

Charge-to-Payment Ratio

3.48x

This provider submits charges 3.48 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.48x means for every $100 Medicare pays, this provider initially charges $348. This is higher than the national average.

Location

Pasadena, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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