This provider's $11.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 255% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 85% in 2019
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 | $311.92 | $116.12 | 2.69x | $195.80 | $517.7K | 4.7K | 3.5K |
| 2015 | $622.90 | $184.38 | 3.38x | $438.52 | $639.9K | 5.5K | 3.9K |
| 2016 | $353.49 | $103.49 | 3.42x | $250.00 | $552.0K | 5.7K | 3.8K |
| 2017 | $347.98 | $105.82 | 3.29x | $242.16 | $555.4K | 5.6K | 3.9K |
| 2018 | $275.89 | $105.79 | 2.61x | $170.10 | $596.3K | 5.4K | 4.0K |
| 2019 | $508.72 | $243.86 | 2.09x | $264.86 | $1.1M | 8.0K | 5.8K |
| 2020 | $499.77 | $220.99 | 2.26x | $278.78 | $1.4M | 12.0K | 7.7K |
| 2021 | $542.74 | $246.52 | 2.20x | $296.22 | $1.8M | 18.4K | 8.5K |
| 2022 | $629.69 | $274.99 | 2.29x | $354.70 | $2.0M | 23.7K | 8.7K |
| 2023 | $584.20 | $264.23 | 2.21x | $319.97 | $1.8M | 26.4K | 8.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.7K | $2.1M | $442.01 | 2.71x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.6K | $2.0M | $96.10 | 1.93x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.0K | $1.2M | $152.30 | 2.46x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 4.6K | $875.4K | $189.93 | 1.57x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 15.6K | $805.8K | $51.57 | 2.29x |
| 33285 | Insertion of heart rhythm monitor under skin | 139 | $669.4K | $4.8K | 1.87x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 14.5K | $640.8K | $44.31 | 1.47x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 10.2K | $362.8K | $35.49 | 1.47x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 411 | $319.5K | $777.27 | 2.06x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.0K | $299.1K | $59.95 | 3.75x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $121.3K | $87.14 | 2.18x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 1.7K | $118.5K | $71.19 | 2.72x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.0K | $118.0K | $114.37 | 2.05x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.3K | $116.4K | $88.54 | 2.43x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 175 | $93.3K | $533.12 | 2.72x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.1K | $92.1K | $44.29 | 2.82x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 702 | $90.8K | $129.41 | 1.93x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 368 | $84.5K | $229.69 | 4.13x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 594 | $81.6K | $137.45 | 2.07x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 3.6K | $79.2K | $21.84 | 2.75x |
This provider submits charges 2.27 times higher than what Medicare actually pays.
A markup ratio of 2.27x means for every $100 Medicare pays, this provider initially charges $227. 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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