This provider's $11.0M in total Medicare payments ranks in the 99th percentile of 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 | $431.01 | $112.54 | 3.83x | $318.47 | $1.0M | 10.0K | 9.0K |
| 2015 | $457.77 | $122.06 | 3.75x | $335.71 | $1.1M | 10.1K | 9.2K |
| 2016 | $445.10 | $116.69 | 3.81x | $328.41 | $1.1M | 10.4K | 9.4K |
| 2017 | $448.88 | $121.14 | 3.71x | $327.74 | $1.1M | 10.4K | 9.3K |
| 2018 | $481.71 | $131.37 | 3.67x | $350.34 | $1.0M | 9.9K | 8.9K |
| 2019 | $555.49 | $157.12 | 3.54x | $398.37 | $1.1M | 10.1K | 9.3K |
| 2020 | $471.41 | $153.47 | 3.07x | $317.94 | $1.5M | 10.4K | 9.5K |
| 2021 | $476.92 | $150.28 | 3.17x | $326.64 | $1.2M | 9.8K | 8.5K |
| 2022 | $585.81 | $187.74 | 3.12x | $398.07 | $878.4K | 8.2K | 7.3K |
| 2023 | $534.46 | $155.39 | 3.44x | $379.07 | $966.2K | 8.8K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 13.1K | $2.0M | $150.26 | 3.00x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 11.6K | $1.7M | $147.45 | 5.14x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.3K | $1.7M | $387.10 | 6.20x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.4K | $1.0M | $83.89 | 2.72x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 482 | $584.6K | $1.2K | 1.32x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 596 | $369.7K | $620.23 | 1.90x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 2.3K | $321.6K | $142.51 | 2.27x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 504 | $301.2K | $597.68 | 3.25x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.0K | $298.0K | $59.30 | 4.45x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.1K | $225.4K | $109.81 | 2.81x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 110 | $215.6K | $2.0K | 1.89x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.2K | $184.3K | $57.52 | 2.81x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.4K | $161.0K | $66.93 | 11.76x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 734 | $147.1K | $200.45 | 3.88x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $145.6K | $120.94 | 2.94x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.7K | $140.9K | $83.02 | 2.77x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.1K | $137.9K | $43.92 | 3.01x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.1K | $135.2K | $12.12 | 5.11x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 777 | $120.9K | $155.59 | 2.82x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 246 | $120.3K | $489.09 | 3.77x |
This provider submits charges 3.97 times higher than what Medicare actually pays.
A markup ratio of 3.97x means for every $100 Medicare pays, this provider initially charges $397. 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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