This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Advanced Heart Failure and Transplant Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $796.51 | $118.55 | 6.72x | $677.96 | $556.0K | 15.8K | 10.9K |
| 2015 | $647.73 | $92.35 | 7.01x | $555.38 | $518.1K | 15.4K | 10.9K |
| 2016 | $672.01 | $95.34 | 7.05x | $576.67 | $550.9K | 15.8K | 10.9K |
| 2017 | $780.18 | $123.26 | 6.33x | $656.92 | $530.8K | 14.5K | 10.5K |
| 2018 | $679.76 | $119.47 | 5.69x | $560.29 | $559.3K | 14.0K | 9.9K |
| 2019 | $605.02 | $128.58 | 4.71x | $476.44 | $543.3K | 12.7K | 9.1K |
| 2020 | $635.85 | $124.08 | 5.12x | $511.77 | $486.5K | 10.3K | 7.2K |
| 2021 | $644.57 | $124.65 | 5.17x | $519.92 | $438.8K | 8.1K | 6.1K |
| 2022 | $634.70 | $127.00 | 5.00x | $507.70 | $378.7K | 7.8K | 5.4K |
| 2023 | $436.47 | $87.74 | 4.97x | $348.73 | $336.6K | 7.5K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.9K | $849.7K | $77.62 | 2.26x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.2K | $478.2K | $148.82 | 7.93x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.8K | $364.4K | $46.45 | 2.58x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 992 | $282.6K | $284.83 | 7.00x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 405 | $269.3K | $664.82 | 6.05x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 131 | $181.4K | $1.4K | 3.61x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $173.1K | $130.23 | 3.92x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 610 | $152.6K | $250.11 | 6.88x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 4.5K | $147.1K | $32.76 | 2.52x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 9.8K | $115.7K | $11.79 | 4.24x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 920 | $108.0K | $117.44 | 1.96x |
| 71275 | CT scan of blood vessels in chest with contrast | 648 | $91.3K | $140.87 | 9.55x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 155 | $84.0K | $542.07 | 2.77x |
| 70498 | CT scan of neck blood vessels with contrast | 381 | $78.2K | $205.23 | 5.88x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 647 | $76.8K | $118.72 | 1.98x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 362 | $72.8K | $201.24 | 11.43x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 1.6K | $68.7K | $43.85 | 2.62x |
| 36222 | Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation | 216 | $66.4K | $307.33 | 4.56x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 147 | $64.8K | $440.83 | 7.88x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 798 | $63.9K | $80.09 | 2.12x |
This provider submits charges 4.8 times higher than what Medicare actually pays.
A markup ratio of 4.8x means for every $100 Medicare pays, this provider initially charges $480. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data