This provider's $6.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 579% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2022
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 | $196.33 | $74.87 | 2.62x | $121.46 | $216.8K | 3.1K | 2.0K |
| 2015 | $265.63 | $88.24 | 3.01x | $177.39 | $305.6K | 3.9K | 2.6K |
| 2016 | $244.61 | $82.22 | 2.98x | $162.39 | $376.8K | 4.9K | 3.3K |
| 2017 | $229.70 | $76.11 | 3.02x | $153.59 | $508.4K | 8.8K | 4.6K |
| 2018 | $237.10 | $79.34 | 2.99x | $157.76 | $538.2K | 9.6K | 4.1K |
| 2019 | $222.59 | $75.06 | 2.97x | $147.53 | $612.8K | 9.7K | 4.0K |
| 2020 | $205.46 | $68.52 | 3.00x | $136.94 | $674.1K | 12.5K | 4.6K |
| 2021 | $234.68 | $75.67 | 3.10x | $159.01 | $754.6K | 12.6K | 5.6K |
| 2022 | $217.44 | $73.06 | 2.98x | $144.38 | $1.2M | 20.3K | 9.0K |
| 2023 | $209.13 | $67.84 | 3.08x | $141.29 | $1.5M | 24.9K | 9.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.6K | $1.4M | $73.97 | 2.93x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 32.8K | $1.2M | $36.05 | 1.46x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.8K | $809.1K | $140.49 | 2.98x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.7K | $570.9K | $121.42 | 2.75x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.1K | $373.3K | $331.49 | 4.22x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 3.8K | $204.2K | $53.17 | 3.30x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.2K | $157.5K | $128.67 | 2.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $142.5K | $106.35 | 2.98x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.2K | $135.3K | $113.54 | 2.07x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 3.3K | $130.2K | $39.44 | 2.58x |
| 99439 | Chronic care management services, each additional 20 minutes of clinical staff time per calendar month | 3.7K | $129.4K | $35.02 | 2.56x |
| 99487 | Complex chronic care management services 60 minutes clinical staff time | 1.1K | $108.2K | $95.88 | 2.56x |
| 99457 | Remote monitoring of physiologic parameters management services, 20 minutes or more of qualified health care professional time per calendar month | 2.9K | $106.8K | $36.34 | 2.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $103.0K | $48.64 | 3.22x |
| 93241 | Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 497 | $84.1K | $169.26 | 5.91x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 907 | $82.5K | $90.99 | 1.55x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 490 | $76.4K | $155.90 | 2.09x |
| G0422 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session | 798 | $68.8K | $86.25 | 2.56x |
| G0423 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session | 793 | $68.5K | $86.35 | 2.55x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 4.5K | $64.4K | $14.15 | 2.86x |
This provider submits charges 2.73 times higher than what Medicare actually pays.
A markup ratio of 2.73x means for every $100 Medicare pays, this provider initially charges $273. 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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