This provider averages 111 services per working day
Based on 277.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Their average markup ratio of 6.94x is significantly above the specialty median of 3.6x.
Averaging 111 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 | $188.13 | $33.30 | 5.65x | $154.83 | $784.4K | 29.4K | 20.5K |
| 2015 | $199.00 | $35.41 | 5.62x | $163.59 | $784.6K | 28.3K | 19.6K |
| 2016 | $183.53 | $30.21 | 6.08x | $153.32 | $705.3K | 26.9K | 18.8K |
| 2017 | $180.62 | $29.09 | 6.21x | $151.53 | $709.1K | 27.5K | 19.1K |
| 2018 | $213.53 | $33.83 | 6.31x | $179.70 | $755.2K | 27.8K | 19.0K |
| 2019 | $205.83 | $30.47 | 6.76x | $175.36 | $757.7K | 28.5K | 19.8K |
| 2020 | $191.48 | $29.09 | 6.58x | $162.39 | $713.0K | 27.3K | 19.6K |
| 2021 | $199.11 | $30.63 | 6.50x | $168.48 | $786.2K | 28.5K | 19.7K |
| 2022 | $263.91 | $75.32 | 3.50x | $188.59 | $754.3K | 26.0K | 18.5K |
| 2023 | $217.71 | $32.69 | 6.66x | $185.02 | $832.8K | 27.2K | 18.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 35.4K | $2.6M | $73.68 | 3.91x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 17.4K | $894.9K | $51.38 | 22.11x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 36.9K | $392.3K | $10.62 | 6.15x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.0K | $328.5K | $54.67 | 3.45x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.1K | $296.2K | $58.12 | 5.66x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 18.5K | $250.1K | $13.53 | 4.35x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $227.7K | $109.86 | 3.91x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.2K | $208.9K | $50.29 | 3.87x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 5.7K | $195.1K | $34.42 | 5.37x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 2.3K | $186.5K | $80.69 | 16.26x |
| 80053 | Blood test, comprehensive group of blood chemicals | 17.8K | $178.1K | $10.02 | 3.84x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.3K | $134.1K | $101.32 | 3.57x |
| 83735 | Magnesium level | 16.9K | $130.5K | $7.73 | 4.08x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 2.6K | $108.1K | $41.71 | 3.81x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 5.5K | $106.7K | $19.55 | 3.81x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 11.7K | $104.1K | $8.87 | 3.92x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 644 | $95.5K | $148.36 | 3.49x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 861 | $95.0K | $110.32 | 3.50x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 5.8K | $88.8K | $15.28 | 6.54x |
| 36415 | Insertion of needle into vein for collection of blood sample | 25.5K | $87.3K | $3.42 | 4.68x |
This provider submits charges 6.94 times higher than what Medicare actually pays.
A markup ratio of 6.94x means for every $100 Medicare pays, this provider initially charges $694. 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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