This provider's $8.4M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 404% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 81% in 2019
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 | $192.58 | $85.77 | 2.25x | $106.81 | $279.7K | 3.7K | 2.1K |
| 2015 | $209.12 | $87.98 | 2.38x | $121.14 | $355.3K | 6.4K | 3.5K |
| 2016 | $219.32 | $96.61 | 2.27x | $122.71 | $385.2K | 8.1K | 4.4K |
| 2017 | $238.02 | $106.70 | 2.23x | $131.32 | $464.8K | 5.1K | 3.4K |
| 2018 | $240.47 | $103.13 | 2.33x | $137.34 | $587.5K | 7.8K | 5.3K |
| 2019 | $352.95 | $147.39 | 2.39x | $205.56 | $1.1M | 9.3K | 6.3K |
| 2020 | $382.49 | $150.73 | 2.54x | $231.76 | $1.0M | 7.7K | 5.4K |
| 2021 | $350.52 | $143.33 | 2.45x | $207.19 | $1.3M | 9.7K | 6.9K |
| 2022 | $363.23 | $139.33 | 2.61x | $223.90 | $1.5M | 9.8K | 6.8K |
| 2023 | $382.54 | $147.34 | 2.60x | $235.20 | $1.4M | 9.4K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 2.0K | $2.7M | $1.3K | 2.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 18.0K | $1.2M | $67.02 | 1.96x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.0K | $932.8K | $458.16 | 1.26x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.8K | $460.6K | $161.85 | 3.04x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.4K | $434.9K | $182.18 | 2.73x |
| 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 | 1.9K | $333.1K | $170.99 | 1.75x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.8K | $314.8K | $65.68 | 2.26x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.8K | $249.0K | $141.94 | 2.46x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 1.0K | $231.8K | $231.12 | 2.30x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 475 | $219.5K | $462.17 | 2.11x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.4K | $180.0K | $124.90 | 2.12x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.5K | $165.6K | $65.55 | 5.95x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 17.2K | $129.0K | $7.48 | 5.84x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 575 | $122.2K | $212.51 | 1.50x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.4K | $109.4K | $45.73 | 2.15x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 360 | $80.2K | $222.65 | 1.57x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.2K | $60.7K | $14.33 | 6.23x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 2.4K | $58.2K | $23.81 | 13.96x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 573 | $52.6K | $91.77 | 2.11x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 1.0K | $50.4K | $50.24 | 5.92x |
This provider submits charges 2.61 times higher than what Medicare actually pays.
A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. 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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