This provider's $11.9M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 390% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 61% in 2015
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 | $737.64 | $128.33 | 5.75x | $609.31 | $396.9K | 4.1K | 3.0K |
| 2015 | $874.47 | $174.13 | 5.02x | $700.34 | $638.8K | 4.9K | 3.6K |
| 2016 | $883.64 | $174.38 | 5.07x | $709.26 | $891.6K | 5.8K | 4.2K |
| 2017 | $736.79 | $156.17 | 4.72x | $580.62 | $989.5K | 5.8K | 4.3K |
| 2018 | $880.76 | $183.05 | 4.81x | $697.71 | $1.0M | 6.1K | 4.5K |
| 2019 | $900.20 | $188.36 | 4.78x | $711.84 | $1.2M | 6.7K | 5.2K |
| 2020 | $724.25 | $163.94 | 4.42x | $560.31 | $1.4M | 7.3K | 5.8K |
| 2021 | $974.53 | $273.85 | 3.56x | $700.68 | $1.6M | 7.9K | 6.2K |
| 2022 | $920.89 | $241.73 | 3.81x | $679.16 | $1.8M | 8.8K | 7.6K |
| 2023 | $824.62 | $203.09 | 4.06x | $621.53 | $1.9M | 9.3K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 3.9K | $4.1M | $1.1K | 3.07x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 4.0K | $2.5M | $617.72 | 3.18x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.5K | $967.1K | $149.19 | 9.27x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.7K | $850.0K | $54.23 | 2.03x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.9K | $500.9K | $84.98 | 1.95x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.2K | $441.3K | $382.74 | 5.53x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.9K | $305.3K | $162.46 | 1.85x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.4K | $304.7K | $90.91 | 1.59x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.2K | $276.3K | $53.02 | 10.84x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 112 | $216.9K | $1.9K | 3.04x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.7K | $212.8K | $44.93 | 2.64x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 695 | $173.2K | $249.28 | 7.18x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.2K | $171.0K | $145.99 | 4.48x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 274 | $131.3K | $479.07 | 7.31x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 843 | $99.8K | $118.41 | 3.34x |
| 33285 | Insertion of heart rhythm monitor under skin | 23 | $93.9K | $4.1K | 2.94x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.1K | $76.5K | $67.49 | 7.38x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 385 | $71.6K | $185.95 | 4.28x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 790 | $45.4K | $57.51 | 1.73x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 102 | $43.7K | $428.45 | 5.43x |
This provider submits charges 3.89 times higher than what Medicare actually pays.
A markup ratio of 3.89x means for every $100 Medicare pays, this provider initially charges $389. 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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