This provider averages 60 services per working day
Based on 149.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 60 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 62% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 94% 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 | $518.10 | $162.18 | 3.19x | $355.92 | $909.8K | 9.2K | 5.6K |
| 2015 | $519.48 | $152.95 | 3.40x | $366.53 | $591.5K | 9.1K | 4.4K |
| 2016 | $580.96 | $192.94 | 3.01x | $388.02 | $763.8K | 11.0K | 4.8K |
| 2017 | $547.43 | $168.58 | 3.25x | $378.85 | $793.2K | 10.6K | 5.0K |
| 2018 | $518.95 | $157.45 | 3.30x | $361.50 | $754.1K | 10.8K | 5.4K |
| 2019 | $650.78 | $149.07 | 4.37x | $501.71 | $1.0M | 12.7K | 6.6K |
| 2020 | $653.46 | $160.15 | 4.08x | $493.31 | $2.0M | 20.5K | 9.7K |
| 2021 | $693.16 | $171.81 | 4.03x | $521.35 | $2.1M | 20.7K | 9.9K |
| 2022 | $911.31 | $207.81 | 4.39x | $703.50 | $1.7M | 22.6K | 8.1K |
| 2023 | $857.74 | $216.00 | 3.97x | $641.74 | $1.5M | 22.9K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.4K | $1.5M | $84.26 | 3.06x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 2.0K | $1.1M | $564.43 | 3.78x |
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 735 | $806.4K | $1.1K | 3.19x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 770 | $674.5K | $876.02 | 2.86x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.3K | $471.5K | $144.93 | 3.61x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 10.9K | $441.7K | $40.56 | 3.02x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.1K | $439.2K | $414.33 | 3.14x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 317 | $427.8K | $1.3K | 3.37x |
| 99457 | Remote monitoring of physiologic parameters management services, 20 minutes or more of qualified health care professional time per calendar month | 9.6K | $353.3K | $36.99 | 3.30x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 8.6K | $336.4K | $39.33 | 3.38x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 946 | $308.4K | $325.99 | 2.85x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 14.1K | $280.4K | $19.85 | 3.91x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 948 | $258.9K | $273.11 | 3.66x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 786 | $255.6K | $325.16 | 3.03x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 2.2K | $251.8K | $116.14 | 3.32x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.6K | $228.0K | $49.59 | 2.96x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 320 | $210.7K | $658.45 | 2.88x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 8.6K | $198.1K | $23.04 | 3.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $195.5K | $62.03 | 3.12x |
| 33285 | Insertion of heart rhythm monitor under skin | 182 | $173.9K | $955.49 | 10.52x |
This provider submits charges 3.46 times higher than what Medicare actually pays.
A markup ratio of 3.46x means for every $100 Medicare pays, this provider initially charges $346. 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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