This provider's $5.8M in total Medicare payments ranks in the 98th percentile of Interventional Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 80% in 2017
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 | $482.05 | $108.67 | 4.44x | $373.38 | $394.0K | 7.1K | 5.2K |
| 2015 | $486.96 | $106.30 | 4.58x | $380.66 | $399.9K | 8.5K | 5.6K |
| 2016 | $473.56 | $104.30 | 4.54x | $369.26 | $462.1K | 8.3K | 5.6K |
| 2017 | $426.79 | $134.96 | 3.16x | $291.83 | $831.1K | 9.4K | 6.6K |
| 2018 | $453.77 | $115.33 | 3.93x | $338.44 | $661.9K | 9.1K | 6.9K |
| 2019 | $411.29 | $90.77 | 4.53x | $320.52 | $616.4K | 11.5K | 8.9K |
| 2020 | $387.96 | $82.37 | 4.71x | $305.59 | $553.7K | 11.5K | 9.0K |
| 2021 | $424.28 | $94.97 | 4.47x | $329.31 | $687.7K | 10.5K | 8.4K |
| 2022 | $367.84 | $87.74 | 4.19x | $280.10 | $618.8K | 10.4K | 8.5K |
| 2023 | $567.62 | $121.17 | 4.68x | $446.45 | $557.9K | 7.9K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 17.6K | $2.7M | $153.49 | 5.16x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.5K | $1.1M | $90.55 | 1.81x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.1K | $386.1K | $94.73 | 2.36x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $224.5K | $176.77 | 2.40x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 32.4K | $223.8K | $6.90 | 6.25x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 823 | $202.9K | $246.53 | 5.48x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.2K | $197.4K | $62.33 | 2.50x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 291 | $165.2K | $567.54 | 6.17x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.3K | $86.0K | $36.81 | 2.04x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 3.8K | $63.0K | $16.67 | 2.58x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 924 | $58.9K | $63.73 | 7.06x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 615 | $56.2K | $91.46 | 2.11x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 131 | $38.7K | $295.05 | 4.75x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 319 | $36.1K | $113.27 | 2.09x |
| 85610 | Blood test, clotting time | 6.8K | $32.9K | $4.87 | 3.70x |
| 93793 | Anti-clotting management for patient taking warfarin | 2.9K | $25.2K | $8.78 | 4.33x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 32 | $21.9K | $684.91 | 4.18x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 294 | $17.7K | $60.25 | 1.74x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 1.1K | $16.2K | $14.18 | 3.91x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 854 | $11.1K | $13.00 | 7.92x |
This provider submits charges 4.05 times higher than what Medicare actually pays.
A markup ratio of 4.05x means for every $100 Medicare pays, this provider initially charges $405. 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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