This provider averages 61 services per working day
Based on 152.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 61 services per working day raises questions about billing patterns.
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 | $406.05 | $120.97 | 3.36x | $285.08 | $1.1M | 12.4K | 9.8K |
| 2015 | $806.49 | $130.87 | 6.16x | $675.62 | $981.4K | 11.3K | 8.6K |
| 2016 | $572.40 | $96.54 | 5.93x | $475.86 | $954.6K | 11.3K | 9.0K |
| 2017 | $465.73 | $100.81 | 4.62x | $364.92 | $1.0M | 15.1K | 11.6K |
| 2018 | $392.90 | $93.96 | 4.18x | $298.94 | $965.0K | 16.6K | 12.4K |
| 2019 | $438.97 | $105.16 | 4.17x | $333.81 | $1.1M | 18.7K | 13.5K |
| 2020 | $508.97 | $108.90 | 4.67x | $400.07 | $1.0M | 18.2K | 13.6K |
| 2021 | $437.82 | $95.85 | 4.57x | $341.97 | $959.6K | 17.6K | 13.0K |
| 2022 | $332.67 | $101.42 | 3.28x | $231.25 | $857.8K | 16.4K | 12.6K |
| 2023 | $391.14 | $93.40 | 4.19x | $297.74 | $776.2K | 15.0K | 12.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 36.3K | $2.8M | $76.16 | 2.76x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 2.3K | $987.3K | $434.17 | 4.16x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.1K | $874.6K | $142.93 | 3.60x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.9K | $599.1K | $203.37 | 4.26x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 4.3K | $498.8K | $114.82 | 2.72x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 8.1K | $457.1K | $56.57 | 2.37x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.7K | $385.7K | $104.49 | 2.47x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.4K | $381.6K | $51.24 | 5.76x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.2K | $205.9K | $49.02 | 2.49x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.8K | $147.9K | $80.99 | 1.56x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 349 | $146.4K | $419.49 | 3.65x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 181 | $134.2K | $741.60 | 3.72x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 266 | $115.9K | $435.87 | 4.06x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 506 | $107.6K | $212.66 | 4.85x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 174 | $93.6K | $537.68 | 4.13x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.9K | $92.7K | $48.28 | 9.55x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 5.2K | $85.7K | $16.54 | 3.86x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days | 5.2K | $84.7K | $16.44 | 3.66x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.2K | $71.7K | $22.50 | 3.50x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 1.9K | $70.1K | $36.01 | 4.23x |
This provider submits charges 3.57 times higher than what Medicare actually pays.
A markup ratio of 3.57x means for every $100 Medicare pays, this provider initially charges $357. 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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