⚠️ This provider averages 216 services per working day — physically unusual for an individual practitioner
Based on 540.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $38.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 216 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2023
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 | $155.77 | $62.47 | 2.49x | $93.30 | $3.8M | 60.5K | 48 |
| 2015 | $184.81 | $71.63 | 2.58x | $113.18 | $3.8M | 53.5K | 44 |
| 2016 | $171.03 | $64.35 | 2.66x | $106.68 | $4.1M | 64.4K | 39 |
| 2017 | $166.64 | $63.51 | 2.62x | $103.13 | $4.2M | 66.4K | 43 |
| 2018 | $187.92 | $72.29 | 2.60x | $115.63 | $5.1M | 70.2K | 47 |
| 2019 | $187.78 | $79.09 | 2.37x | $108.69 | $3.6M | 44.9K | 56 |
| 2020 | $172.24 | $68.30 | 2.52x | $103.94 | $2.8M | 40.3K | 57 |
| 2021 | $169.71 | $65.06 | 2.61x | $104.65 | $3.7M | 56.5K | 57 |
| 2022 | $178.29 | $67.63 | 2.64x | $110.66 | $2.8M | 41.1K | 51 |
| 2023 | $228.66 | $102.24 | 2.24x | $126.42 | $4.4M | 42.9K | 50 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery of leg, initial vessel | 1.2K | $8.8M | $7.1K | 2.64x |
| 37225 | Removal of plaque in arteries of leg | 965 | $8.0M | $8.3K | 2.30x |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 5.2K | $2.1M | $400.78 | 1.98x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 13.1K | $2.0M | $154.44 | 3.53x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20.7K | $1.8M | $88.68 | 2.12x |
| 78492 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 2.1K | $1.4M | $675.39 | 1.72x |
| 93925 | Ultrasound of leg arteries or artery grafts | 7.2K | $1.4M | $194.01 | 1.97x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25.0K | $1.4M | $53.94 | 2.32x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 106 | $1.3M | $12.2K | 2.10x |
| J2785 | Injection, regadenoson, 0.1 mg | 24.9K | $1.1M | $43.27 | 5.78x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.2K | $909.6K | $407.51 | 1.47x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 10.4K | $901.5K | $86.30 | 2.32x |
| 37228 | Balloon dilation of artery of leg, initial vessel | 284 | $873.8K | $3.1K | 3.08x |
| 36473 | Mechanochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 679 | $823.5K | $1.2K | 1.65x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 960 | $642.2K | $668.94 | 1.45x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 3.3K | $496.0K | $149.75 | 2.52x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 3.5K | $490.7K | $140.80 | 2.72x |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 331 | $325.5K | $983.24 | 2.58x |
| 75716 | Review by radiologist of both arms or legs arteries image | 1.7K | $260.8K | $151.27 | 2.09x |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 1.9K | $181.9K | $95.06 | 2.59x |
This provider submits charges 2.53 times higher than what Medicare actually pays.
A markup ratio of 2.53x means for every $100 Medicare pays, this provider initially charges $253. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
| James Joye, D.O. | Mountain View, CA | $34.7M | ✓ Clear |
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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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