This provider's $3.5M in total Medicare payments ranks in the 97th percentile of Interventional Cardiology providers nationally.
Their average markup ratio of 5.99x is significantly above the specialty median of 4.0x.
AI-generated analysis based on Medicare payment data.
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 | $1.4K | $225.21 | 6.44x | $1.2K | $301.4K | 2.6K | 2.0K |
| 2015 | $1.9K | $308.93 | 6.28x | $1.6K | $327.7K | 2.1K | 1.6K |
| 2016 | $1.6K | $285.39 | 5.70x | $1.3K | $316.4K | 1.7K | 1.3K |
| 2017 | $1.7K | $272.90 | 6.20x | $1.4K | $301.0K | 1.6K | 1.3K |
| 2018 | $1.4K | $230.27 | 6.10x | $1.2K | $367.0K | 2.6K | 2.2K |
| 2019 | $1.3K | $225.04 | 5.84x | $1.1K | $454.1K | 3.1K | 2.6K |
| 2020 | $1.3K | $229.69 | 5.64x | $1.1K | $261.6K | 2.0K | 1.7K |
| 2021 | $1.4K | $258.86 | 5.42x | $1.1K | $363.4K | 2.7K | 2.2K |
| 2022 | $1.4K | $251.67 | 5.61x | $1.2K | $363.8K | 2.6K | 2.1K |
| 2023 | $1.4K | $228.70 | 6.11x | $1.2K | $393.9K | 2.9K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 2.1K | $1.2M | $579.51 | 5.35x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.0K | $479.6K | $236.14 | 6.98x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 1.8K | $345.7K | $190.36 | 7.10x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $214.9K | $98.87 | 5.39x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.1K | $154.2K | $137.70 | 5.24x |
| 92941 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin | 205 | $140.0K | $683.00 | 5.09x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 373 | $131.8K | $353.46 | 5.84x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 155 | $104.0K | $670.88 | 5.17x |
| 93456 | Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts | 354 | $103.6K | $292.58 | 5.91x |
| 93455 | Insertion of catheter for imaging of heart blood vessels or grafts | 399 | $82.6K | $206.96 | 7.53x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 143 | $82.1K | $574.22 | 5.40x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 147 | $69.3K | $471.50 | 5.92x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 286 | $55.6K | $194.42 | 5.07x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 212 | $52.0K | $245.43 | 7.55x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.5K | $50.8K | $14.44 | 9.62x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 3.5K | $42.1K | $11.98 | 5.42x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 4.3K | $32.1K | $7.39 | 5.96x |
| 33967 | Insertion of assistive heart blood flow device into aorta, accessed through the skin | 109 | $17.7K | $162.43 | 8.15x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 76 | $11.7K | $154.29 | 5.39x |
| 33362 | Replacement of aortic valve with prosthetic valve, open procedure | 12 | $11.5K | $954.77 | 7.96x |
This provider submits charges 5.99 times higher than what Medicare actually pays.
A markup ratio of 5.99x means for every $100 Medicare pays, this provider initially charges $599. 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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