This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 85% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 73% in 2021
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 | $241.00 | $78.02 | 3.09x | $162.98 | $722.7K | 11.8K | 8.1K |
| 2015 | $264.38 | $85.96 | 3.08x | $178.42 | $731.5K | 11.7K | 8.2K |
| 2016 | $250.68 | $65.53 | 3.83x | $185.15 | $592.7K | 10.4K | 7.3K |
| 2017 | $378.30 | $74.91 | 5.05x | $303.39 | $836.7K | 13.9K | 9.2K |
| 2018 | $307.15 | $84.94 | 3.62x | $222.21 | $363.4K | 4.8K | 3.3K |
| 2019 | $317.67 | $98.45 | 3.23x | $219.22 | $560.1K | 6.2K | 3.7K |
| 2020 | $293.17 | $91.35 | 3.21x | $201.82 | $593.4K | 6.6K | 4.1K |
| 2021 | $680.83 | $226.05 | 3.01x | $454.78 | $1.0M | 9.4K | 6.9K |
| 2022 | $673.32 | $203.99 | 3.30x | $469.33 | $1.2M | 11.1K | 8.5K |
| 2023 | $659.05 | $191.29 | 3.45x | $467.76 | $1.3M | 12.2K | 9.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.5K | $1.7M | $79.24 | 2.71x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.1K | $1.4M | $332.23 | 3.81x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.1K | $1.2M | $134.72 | 4.18x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 791 | $625.8K | $791.19 | 3.40x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.1K | $367.2K | $118.95 | 3.15x |
| 33285 | Insertion of heart rhythm monitor under skin | 72 | $241.3K | $3.4K | 3.16x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.9K | $234.9K | $122.56 | 2.77x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.9K | $163.2K | $86.55 | 1.45x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 14.0K | $157.6K | $11.25 | 4.57x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.2K | $152.0K | $69.18 | 2.59x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.7K | $147.2K | $54.51 | 2.45x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.1K | $145.7K | $47.34 | 4.33x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.8K | $136.8K | $76.88 | 3.11x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 205 | $124.4K | $606.77 | 3.06x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.2K | $96.5K | $44.17 | 2.38x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 598 | $92.5K | $154.70 | 3.12x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 769 | $91.6K | $119.13 | 2.86x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 181 | $77.8K | $430.04 | 4.64x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 500 | $75.9K | $151.85 | 2.49x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 367 | $72.3K | $197.01 | 5.51x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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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